Male Death Registration: Year: 1970 number: 2800
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002800
1. PLACE OF DEATH County of Pictou If in City or Town Pictou
If death occured in a hospital or institution Cardiac Insufficiency
3. PRINT NAME OF DECEASED MacIntosh, William Carson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 10, 1887
10. AGE in Years82 Months12 Days22 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Agriculture
13. Date last worked 1958 14. Total years Life
15. If married name of spouse Margaret Stewart
16. NAME of Father Murdoch MacIntosh
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Bell MacKenzie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Alphonso MacCulloch
address Pictou
Relationship to deceased Son in law
21. Place of burial Stellarton Saltsprings
Date of burial April 3 1970
22. Undertaker MacKenzie Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 1, 1970
CAUSE OF DEATH
(a) Art. Scler. Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488112
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