Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Church Dodge death at Sydney, Cape Breton County on February 25, 1971
Male Death Registration: Year: 1971 number: 2004
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002004
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution 205 Whitney Ave, Sydney, NS
3. PRINT NAME OF DECEASED Dodge, John Church
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Windsor
9. DATE OF BIRTH 8 23, 1909
10. AGE in Years61 Months6 Days2 | hrs or mins
11. Trade or profession Royal Bank
12. Kind of industry Security Dept.
13. Date last worked 1969 14. Total years
15. If married name of spouse Edwina Harriet Logan
16. NAME of Father Harley Dodge
17. BIRTHPLACE Windsor, N. S.
18. NAME of Mother Mary Church
19. BIRTHPLACE Falmouth, N. S.
20. Signature of Informant Per: Mrs. John Dodge
address 205 Whitney Ave., Sydney, N. S.
Relationship to deceased widow
21. Place of burial Windsor, N. S.
Date of burial Feb. 28, 1971
22. Undertaker R H Fillmore Funeral Home Ltd, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 25, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Arteriosclerosis
(c)
other
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