Female Death Registration: Year: 1971 number: 5097
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005097
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Annapolis General Hospital
3. PRINT NAME OF DECEASED Johns, Jessie Mildred
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Canso, Guysborough County
9. DATE OF BIRTH 3 31, 1899
10. AGE in Years72 Months4 Days24 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 2 months 14. Total years 48 yrs
15. If married name of spouse Carman B. Johns
16. NAME of Father Samuel Swaine
17. BIRTHPLACE Canso, NS
18. NAME of Mother Emma MacLellan
19. BIRTHPLACE Canso, NS
20. Signature of Informant C. B. Johns
address Granville Ferry, NS
Relationship to deceased Husband
21. Place of burial Stoney Beach Cemetery, Granville Beach, NS
Date of burial August 26, 1971
22. Undertaker Chisholm's Funeral Home, Granville Ferry, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 24, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Generalized Arteriosclerosis
(c)
other Auricular Fibrillation and Advanced Myocardial Ischemia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497171
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