Male Death Registration: Year: 1970 number: 2312
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002312
1. PLACE OF DEATH County of Pictou If in City or Town Riverton
If death occured in a hospital or institution Pictou County Home for the Disabled
3. PRINT NAME OF DECEASED MacDonald, Charles Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 14, 1887
10. AGE in Years82 Months7 Days17 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mine
13. Date last worked 14. Total years
15. If married name of spouse Ethel MacPhee
16. NAME of Father Daniel MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ellen MacIntosh
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ethel MacDonald
address North St. Westville
Relationship to deceased Wife
21. Place of burial Auburn Cemetery, Westville
Date of burial March 6, 1970
22. Undertaker Eagles Funeral Home, Westville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 3, 1970
CAUSE OF DEATH
(a) Hyperstolic Pneumonia
(b) Myocardial Infarction
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487625
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