Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
George Raphell Jordan death at Halifax, Halifax County on September 27, 1971
Male Death Registration: Year: 1971 number: 5969
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005969
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Jordan, George Raphell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 3, 1908
10. AGE in Years63 Months4 Days24 | hrs or mins
11. Trade or profession Longshoreman
12. Kind of industry Shipping
13. Date last worked 1971 14. Total years life
15. If married name of spouse Edna Webber
16. NAME of Father George A. Jordan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Laura Gosbee
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Ernest Jordan
address Prince Street, Pictou, NS
Relationship to deceased Brother
21. Place of burial St. James, Pictou, NS
Date of burial 29 September 1971
22. Undertaker McLaren Funeral Home, Pictou, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 27, 1971
CAUSE OF DEATH
(a) Respiratory Failure
(b) Chronic Bronchitis
(c)
other
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