Male Death Registration: Year: 1970 number: 1574
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001574
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital, Antigonish
3. PRINT NAME OF DECEASED MacEachern, Simon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Inverness
9. DATE OF BIRTH 8 21, 1892
10. AGE in Years77 Months5 Days12 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer
13. Date last worked 1969 14. Total years 50 years
15. If married name of spouse Sarah MacEachern
16. NAME of Father John D. MacEachern
17. BIRTHPLACE Judique
18. NAME of Mother Sarah O'Hanley
19. BIRTHPLACE River Denys
20. Signature of Informant Mrs. William MacLean
address West Bay Road
Relationship to deceased daughter
21. Place of burial Princeville Inverness Co.
Date of burial February 3, 1970
22. Undertaker Rod MacDonald Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 2, 1970
CAUSE OF DEATH
(a) carcinomatosis
(b) carcinoma of pancreras
(c)
other deafness
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486888
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