Male Death Registration: Year: 1970 number: 2636
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002636
1. PLACE OF DEATH County of Inverness If in City or Town Hillsdale
If death occured in a hospital or institution Hillsdale, Inverness
3. PRINT NAME OF DECEASED MacEachern, James Simon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Hillsdale
9. DATE OF BIRTH 6 10, 1929
10. AGE in Years40 Months9 Days11 | hrs or mins
11. Trade or profession Lumberman
12. Kind of industry Self-employed
13. Date last worked 1968 14. Total years 20
15. If married name of spouse
16. NAME of Father Hugh James MacEachern
17. BIRTHPLACE Hillsdale
18. NAME of Mother Mary Jessie MacEachern
19. BIRTHPLACE Hillsdale
20. Signature of Informant Mr. MacDonald for Mary MacMillan, Port Head
address Port Hood
Relationship to deceased Daughter
21. Place of burial (illegible), Inverness
Date of burial March 24, 1970
22. Undertaker R. MacDonald Funeral Home, Ports Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 21, 1970
CAUSE OF DEATH
(a) Myocardial infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487948
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