Male Death Registration: Year: 1971 number: 7191
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007191
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Jordan, Alvin Balfour
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 8 3, 1904
10. AGE in Years67 Months4 Days5 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Beatrice
16. NAME of Father John Jordan
17. BIRTHPLACE New Brunswick
18. NAME of Mother Elizabeth Buckard
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs. A. B. Jordon
address Hilden, Colchester Co., NS
Relationship to deceased Wife
21. Place of burial Hilden, Colchester Co., NS
Date of burial 10 December 1971
22. Undertaker Mattatall Funeral Home, Truro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 8, 1971
CAUSE OF DEATH
(a) Carcinoma of Lung
(b) Cigarette Smoking
(c)
other Epilepsy & Pulmo9nary Tuburculosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499263
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