Male Death Registration: Year: 1970 number: 2184
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002184
1. PLACE OF DEATH County of Richmond If in City or Town St. Peters
3. PRINT NAME OF DECEASED MacDonald, John Simon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
8. BIRTHPLACE Ingonish
9. DATE OF BIRTH 9 22, 1902
10. AGE in Years65 Months5 Days8 | 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 Ronald Anthony MacDonald
17. BIRTHPLACE Grand Greve
18. NAME of Mother Mary Ann Williams
19. BIRTHPLACE Ingonish
20. Signature of Informant Mrs. Beatrice Hayter
address St. Peter's
Relationship to deceased Sister
21. Place of burial St. Peter's R.C. Cemetery
Date of burial Mar 5, 1970
22. Undertaker Alex A Morrison, St Peter's
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 3, 1970
CAUSE OF DEATH
(a) Suffocation
(b)
(c)
other Burns
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487497
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