Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Rudolph death at Antigonish, Antigonish County on May 29, 1971
Male Death Registration: Year: 1971 number: 3653
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003653
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, NS
3. PRINT NAME OF DECEASED Rudolph, Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
single
8. BIRTHPLACE Liscomb
9. DATE OF BIRTH 1 1, 1884
10. AGE in Years87 Months4 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 Reta Pye
16. NAME of Father John Reuben Rudolph
17. BIRTHPLACE Liscomb, NS
18. NAME of Mother Eliza Hiltz
19. BIRTHPLACE Port Bickerton, NS
20. Signature of Informant Lewis Kaizer
address Port Bickerton, NS
Relationship to deceased Brother in Law
21. Place of burial Liscomb, NS
Date of burial June 1, 1971
22. Undertaker Veinotte & Sons Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 29, 1971
CAUSE OF DEATH
(a) Acute Cardiac Failure
(b) Senile Sclerotic Heart Disease
(c)
other
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