Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ashford Livingstone Jordan death at Halifax, Halifax County on November 19, 1971
Male Death Registration: Year: 1971 number: 6837
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006837
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V.G. Hospital
3. PRINT NAME OF DECEASED Jordan, Ashford Livingstone
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Indian Harbour
9. DATE OF BIRTH 2 26, 1875
10. AGE in Years96 Months8 Days23 | 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
16. NAME of Father Henry Jordan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Margaret Marks
address 195 Caledonia Road, Dartmouth
Relationship to deceased
21. Place of burial Dart Memorial Gardens
Date of burial Nov. 22, 1971
22. Undertaker Mattatalls Funeral Services Ltd. Darthmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 19, 1971
CAUSE OF DEATH
(a) Pulmonary Embolus
(b) Fracture of Left Hip
(c)
other
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Note: Surgical operation on November 7, 1971. Findings: Fracture Left Hip. No autopsy. Accident date of injury Nov. 6, 1971. Fell on floor at home