Province of Manitoba | Detailed View

DETAILED DEATH INFORMATION

REGISTRATION NUMBER: 1924-020462

**DECEASED DETAILS**
Last Name: THIESSEN
Given Names: JACOB	Sex: MALE
Date of Death: 03/05/1924	Time of Death:

**PLACE OF DEATH DETAILS**
Name of Hospital:
Place of Death: RM RHINELAND

**USUAL RESIDENCE**
Address:
City, Town, Village, Rural:
Province:	Country:

**MARITAL DETAILS**
Marital Status:	Surname of Husband or Maiden Name of Wife:
	First Names of Spouse:

**OTHER DETAILS**
Occup./Task:

**BIRTH DETAILS**
Date of Birth:	Age At Death: 078	Units of age: YEARS
Place of Birth:
Province:		Country:

**PARENT'S DETAILS**
FATHER'S	MOTHER'S
Last Name:	Maiden Last Name:
Given Names:	Given Names:
Place of Birth:	Place of Birth:

0

**INFORMANT'S PARTICULARS**
Relationship to Deceased:
Address:

**DISPOSITION DETAILS**
Disp. Type:	Burial/Disp. Date:
Place:
Address:

**BURIAL PERMIT DETAILS**
Issued By:
Address:

**FUNERAL DIRECTOR DETAILS**
Name:
Address:


Date of Registration: