Male Death Registration: Year: 1971 number: 6628
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006628
1. PLACE OF DEATH County of Guysborough If in City or Town Aspen
3. PRINT NAME OF DECEASED Jordan, William Locke
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Jordanville, Guysborough County
9. DATE OF BIRTH 5 12, 1907
10. AGE in Years64 Months5 Days22 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 3 November 1971 14. Total years
15. If married name of spouse Sophia
16. NAME of Father Charles Jordan
17. BIRTHPLACE Jordanville, Guysborough Co., NS
18. NAME of Mother Elizabeth Locke
19. BIRTHPLACE Port Hilford, Guysborough Co., NS
20. Signature of Informant Mrs. Douglas Mills
address Port Hilford, Guysborough Co., NS
Relationship to deceased Niece
21. Place of burial Indian Harbour Lake, Guysborough Co., NS
Date of burial 5 November 1971
22. Undertaker Veinotte's Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 3, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498701
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