Male Death Registration: Year: 1970 number: 5359
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005359
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St Martha's Hospital, Antigonish
3. PRINT NAME OF DECEASED Jordan, Arnold Edison
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Jordanville
9. DATE OF BIRTH 11 18, 1894
10. AGE in Years75 Months9 Days15 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mildred
16. NAME of Father Thomas Jordan
17. BIRTHPLACE Jordanville
18. NAME of Mother Mary Elizabeth Fraser
19. BIRTHPLACE Mosher River
20. Signature of Informant Gordon Jordan
address Antigonish
Relationship to deceased Son
21. Place of burial Indian Harbour Lake
Date of burial Sept 4, 1970
22. Undertaker Veinotte & Sons Funeral Service Ltd, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 1, 1970
CAUSE OF DEATH
(a) Myocardial infarction
(b) Arteriosclerotic
(c) Heart disease
other Cancer of lung (b/lateral) cholecystitis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490667
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