Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Alfred Jacklin death at Halifax, Halifax County on December 1, 1971
Male Death Registration: Year: 1971 number: 7008
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007008
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Ocean View Manor
3. PRINT NAME OF DECEASED Jacklin, Charles Alfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 29, 1894
10. AGE in Years77 Months7 Days2 | hrs or mins
11. Trade or profession Express - man
12. Kind of industry
13. Date last worked 1946 14. Total years 35 years
15. If married name of spouse Mrs. Gladys Jacklin
16. NAME of Father Charles Jacklin
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Katherine Washington
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Lewis Acker
address 18 George St. Bedford
Relationship to deceased Daughter
21. Place of burial Pine Grove Cemetery, Shelburne
Date of burial December 4, 1971
22. Undertaker Huskilsons Funeral Home, Shelburne
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 1, 1971
CAUSE OF DEATH
(a) Carcinoma of Bowel
(b)
(c)
other
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Note: African Nova Scotian