Male Death Registration: Year: 1970 number: 1267
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001267
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution St. Mary's Hospital
3. PRINT NAME OF DECEASED MacEachern, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Hillsdale
9. DATE OF BIRTH 11 6, 1901
10. AGE in Years68 Months2 Days9 | hrs or mins
11. Trade or profession farming
12. Kind of industry farmer beef
13. Date last worked 1965 14. Total years 40
15. If married name of spouse Mary Anne MacEachern
16. NAME of Father Archie MacEachern
17. BIRTHPLACE Hillsdale
18. NAME of Mother Jessie MacEachern
19. BIRTHPLACE Hillsdale
20. Signature of Informant Mrs. Mary A. MacEachern
address Judique, Inverness Co.
Relationship to deceased wife
21. Place of burial Judique, Inverness Co.
Date of burial January 15, 1970
22. Undertaker Rod MacDonald Funeral Home, Inverness
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 15, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Perforated Peptic Ulcer
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486581
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