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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Note: Car left highway & submerged
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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