Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Wayne Rutherford death at Sydney, Cape Breton County on January 29, 1971
Male Death Registration: Year: 1971 number: 1455
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001455
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED Rutherford, Wayne
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 12 24, 1967
10. AGE in Years3 Months1 Days5 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Daniel Rutherford
17. BIRTHPLACE Sydney
18. NAME of Mother Shirley MacQuarrie
19. BIRTHPLACE Sydney
20. Signature of Informant Per: Raylene Williams
address 27 Spruce St., Sydney
Relationship to deceased
21. Place of burial Hardwood Hill Cemetery, Sydney
Date of burial Feb. 1, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 29, 1971
CAUSE OF DEATH
(a) Cardiac arrest
(b) Asphyxiation due to swallowed F.B. Balloon
(c)
other
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