Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jeremiah Leo Martin death at Digby, Digby County on August 16, 1971
Male Death Registration: Year: 1971 number: 5031
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005031
1. PLACE OF DEATH County of Digby If in City or Town Digby
If death occured in a hospital or institution Digby General Hospital
3. PRINT NAME OF DECEASED Martin, Jeremiah Leo
4. Sex
Male
5. Citizenship
American
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Boston, Massachusetts, USA
9. DATE OF BIRTH 11 13, 1904
10. AGE in Years66 Months9 Days3 | hrs or mins
11. Trade or profession Clerk
12. Kind of industry Liquor Store
13. Date last worked 1971 14. Total years
15. If married name of spouse Helen McDonnell
16. NAME of Father Edmond Martin
17. BIRTHPLACE Ireland
18. NAME of Mother Ellen O'Leary
19. BIRTHPLACE Ireland
20. Signature of Informant Helen Martin
address 42 Caryll Street, Mattapan, Mass., USA
Relationship to deceased Wife
21. Place of burial Dorchester, Mass., USA
Date of burial Aug 18, 1971
22. Undertaker Jayne's Funeral Home Ltd., Digby, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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