Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Reginald Joseph Jordan death at Culloden, Digby County on September 30, 1971
Male Death Registration: Year: 1971 number: 5909
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005909
1. PLACE OF DEATH County of Digby If in City or Town Culloden
If death occured in a hospital or institution Culloden Wharf
3. PRINT NAME OF DECEASED Jordan, Reginald Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Plympton, Digby County
9. DATE OF BIRTH 4 14, 1918
10. AGE in Years53 Months5 Days16 | hrs or mins
11. Trade or profession Retired Fisherman
12. Kind of industry Fishing
13. Date last worked 1965 14. Total years
15. If married name of spouse Thelma Stark
16. NAME of Father John Jordan
17. BIRTHPLACE NS
18. NAME of Mother Ella Amero
19. BIRTHPLACE NS
20. Signature of Informant Robert Jordan
address Culloden, Digby Co., NS
Relationship to deceased Son
21. Place of burial Culloden, Digby Co., NS
Date of burial 3 October 1971
22. Undertaker Jayne's Funeral Home Ltd., Digby, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 30, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Coronary Insufficiency
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