Male Death Registration: Year: 1970 number: 6857
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006857
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Dodge, Rufus Parker
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newport
9. DATE OF BIRTH 8 22, 1888
10. AGE in Years82 Months1 Days28 | 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 Mrs. Mary Eliza Dodge
16. NAME of Father Frederick Dodge
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eliza Dodge
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William Dodge
address 15 Valleyfield Rd, Dartmouth
Relationship to deceased Son
21. Place of burial Maplewood Cemetery, Windsor
Date of burial Oct 23, 1970
22. Undertaker Lindsay Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 21, 1970
CAUSE OF DEATH
(a) Congestive Cardiac Failure
(b) Senile, Myocarditis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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