Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jean Kellock death at Halifax, Halifax County on September 27, 1971
Female Death Registration: Year: 1971 number: 5831
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005831
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Kellock, Jean
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 16, 1908
10. AGE in Years63 Months8 Days11 | hrs or mins
11. Trade or profession Clerk
12. Kind of industry Moirs Ltd.
13. Date last worked 14. Total years 38 years
15. If married name of spouse
16. NAME of Father John Kellock
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Reta Bowran
19. BIRTHPLACE Nova Scotia
20. Signature of Informant C. P. Swelter
address 6521 Vienna Street, Halifax, NS
Relationship to deceased Brother in Law
21. Place of burial Lorne Street Cemetery, New Glasgow, Pictou Co., NS
Date of burial 30 September 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 27, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b)
(c) Arteriosclerosis
other Diabetes Mellitus
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