Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rhoda Inez Jefferson death at Windsor, Hants County on December 24, 1971
Female Death Registration: Year: 1971 number: 7649
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007649
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Nova Scotia Freemasons Home
3. PRINT NAME OF DECEASED Jefferson, Rhoda Inez
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Clementsport
9. DATE OF BIRTH 9 24, 1880
10. AGE in Years90 Months3 Days | hrs or mins
11. Trade or profession
12. Kind of industry Housewife - Retired
13. Date last worked 1955 14. Total years 45
15. If married name of spouse Frank Edward Jefferson
16. NAME of Father Capt. James Gilliatt
17. BIRTHPLACE Hantsport
18. NAME of Mother Olivia Davidson
19. BIRTHPLACE Hantsport
20. Signature of Informant Nancy Sanford
address Windsor
Relationship to deceased Superintendant Nova Scotia Freemasons home
21. Place of burial Bedford
Date of burial December 27, 1971
22. Undertaker Lohnes Funeral Service Ltd. Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 24, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Cerebral Sclerosis
(c)
other
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