Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jessie Mary Misener death at West Jeddore, Halifax County on October 3, 1971
Female Death Registration: Year: 1971 number: 5915
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005915
1. PLACE OF DEATH County of Halifax If in City or Town West Jeddore
If death occured in a hospital or institution Islandview Nursing Home
3. PRINT NAME OF DECEASED Misener, Jessie Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Dutch German
7. Single, Married
widowed
8. BIRTHPLACE East Chezzetcook, Halifax County
9. DATE OF BIRTH 6 18, 1876
10. AGE in Years92 Months3 Days15 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James Conrod
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary A. Conrod
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Maynord Misener
address Pine Street, Dartmouth, NS
Relationship to deceased Son
21. Place of burial Mt. Hermon Cemetery, Dartmouth, NS
Date of burial 5 October 1971
22. Undertaker Mattatall funeral Service Ltd., Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 3, 1971
CAUSE OF DEATH
(a) Sudden Unknown
(b) Arteriosclerotic Heart Disease
(c)
other
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