Female Death Registration: Year: 1971 number: 6314
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006314
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Cassidy, Jean
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 1 17, 1924
10. AGE in Years47 Months9 Days14 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At Home
13. Date last worked 1969 14. Total years 18 years
15. If married name of spouse Cyril Cassidy
16. NAME of Father William Carvery
17. BIRTHPLACE Halifax, NS
18. NAME of Mother Esther Howe
19. BIRTHPLACE Halifax, NS
20. Signature of Informant Mr. Cyril Cassidy
address 2155 Brunswick Street, Halifax, NS
Relationship to deceased Husband
21. Place of burial Fairview Cemetery, Halifax, NS
Date of burial 3 November 1971
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 31, 1971
CAUSE OF DEATH
(a) Cancer of Mouth
(b)
(c)
other Probable Pulmonary Embolism
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498387
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