Male Death Registration: Year: 1970 number: 1457
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001457
1. PLACE OF DEATH County of Cape Breton If in City or Town Big Pond
If death occured in a hospital or institution D.O.A. St. Rita’s Hospital, Sydney
3. PRINT NAME OF DECEASED MacFarlane, Angus James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 9 4, 1958
10. AGE in Years11 Months4 Days13 | hrs or mins
11. Trade or profession Student
12. Kind of industry Grade 6
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Stephen MacFarlane
17. BIRTHPLACE Big Pond
18. NAME of Mother Loretta MacDonald
19. BIRTHPLACE Glace Bay
20. Signature of Informant Steve MacFarlane
address RR #1, Big Pond
Relationship to deceased Father
21. Place of burial St. Mary’s Cemetery Big Pond
Date of burial Jan. 18, 1970
22. Undertaker V. J. MacGillivray Funeral Homes Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1970
CAUSE OF DEATH
(a) Car accident, fractured skull, crushed legs, right leg severed ar hip
(b) Shock
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486771
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