Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Marshall Jessome death at Washabuck, Victoria County on September 18, 1971

Male Death Registration: Year: 1971 number: 5663

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005663

1. PLACE OF DEATH   County of Victoria If in City or Town Washabuck
If death occured in a hospital or institution Asphyxia

3. PRINT NAME OF DECEASED Jessome, Marshall

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 5  1, 1916

10. AGE in  Years55  Months4  Days17 | hrs or mins

11. Trade or profession Carpenter

12. Kind of industry

13. Date last worked 17 September 1971       14. Total years 38 years

15. If married name of spouse Thelma Jessome (nee Wilson)

16. NAME of Father Daniel Jessome

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Madeline Harrietha

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Richard Jessome

      address Bras d'Or, Victoria Co., NS

      Relationship to deceased Son

21. Place of burial St. Joseph's, Bras d'Or, Victoria Co., NS

      Date of burial 22 September 1971

22. Undertaker George R. Frances, Sydney Mines, CB Co., NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 18, 1971

CAUSE OF DEATH

(a) Drowning

(b)

(c)

other

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