Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jessie Myrtle Seldon death at Caledonia, Queens County on August 28, 1971
Female Death Registration: Year: 1971 number: 5294
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005294
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home
3. PRINT NAME OF DECEASED Seldon, Jessie Myrtle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE South Brookfield
9. DATE OF BIRTH 7 6, 1886
10. AGE in Years85 Months1 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Housewife
13. Date last worked 1966 14. Total years
15. If married name of spouse John A. Seldon
16. NAME of Father Andrew W. Freeman
17. BIRTHPLACE NS
18. NAME of Mother Annie Copeland
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Stanley C. Freeman
address 364 Westwood Ave. Long Branch, NJ
Relationship to deceased nephew
21. Place of burial South Brookfield, NS
Date of burial September 1, 1971
22. Undertaker Chandlers' Funeral Service Ltd, Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 28, 1971
CAUSE OF DEATH
(a) Acute bronchopneumonia
(b) Myocardial Insufficiency
(c) Generalized arteriosclerosis
other
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