Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Wallace Jardine death at Sydney, Cape Breton County on September 11, 1971
Male Death Registration: Year: 1971 number: 5481
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005481
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Jardine, John Wallace
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Little Pond, C.B.
9. DATE OF BIRTH 2 9, 1890
10. AGE in Years81 Months7 Days2 | hrs or mins
11. Trade or profession Plumber
12. Kind of industry Plumbing
13. Date last worked 1961 14. Total years 25 yrs
15. If married name of spouse Reta Grace Rudderham
16. NAME of Father Duncan William Jardine
17. BIRTHPLACE Port Morien, NS
18. NAME of Mother Ada Gray
19. BIRTHPLACE Sambro, NS
20. Signature of Informant John E. Jardine
address 1 Oxford Ave., Sydney Mines, NS
Relationship to deceased Son
21. Place of burial Sydney Mines, NS
Date of burial Sept 14, 1971
22. Undertaker Fillmore & Whitman, Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 11, 1971
CAUSE OF DEATH
(a) Congestive Heart Failure
(b)
(c)
other
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