Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Joseph Timothy Jessome death at Cheticamp, Inverness County on July 31, 1971
Male Death Registration: Year: 1971 number: 4674
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004674
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Sacred Heart Hospital, Cheticamp, NS
3. PRINT NAME OF DECEASED Jessome, Joseph Timothy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Cheticamp
9. DATE OF BIRTH 7 30, 1971
10. AGE in Years Months Days1 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Janet Elizabeth Jessome
19. BIRTHPLACE North Sydney, NS
20. Signature of Informant Mrs. Elizabeth Jessome
address Gannon Rd, Bras d'Or, NS
Relationship to deceased Grandmother
21. Place of burial Brookside Cemetery, Sydney Mines, NS
Date of burial August 1, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd., Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 31, 1971
CAUSE OF DEATH
(a) Atelectasis
(b) Prematurity
(c)
other
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