Female Death Registration: Year: 1971 number: 5330
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005330
1. PLACE OF DEATH County of Annapolis If in City or Town Inglisville
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Stoddart, Jacqueline Adelaide
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Caucasian
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 23, 1970
10. AGE in Years Months8 Days14 | hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James Stoddart
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jean Connell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James Stoddart
address Inglisville, Anna Co.
Relationship to deceased Father
21. Place of burial Lawrencetown
Date of burial August 9, 1971
22. Undertaker Warren T. Roop Ltd. Middleton, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 7, 1971
CAUSE OF DEATH
(a) Asphyxiation
(b) Respiratory Infection
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497404
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