Male Death Registration: Year: 1970 number: 3111
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003111
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
3. PRINT NAME OF DECEASED McIntosh, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 8 17, 1902
10. AGE in Years67 Months8 Days7 | hrs or mins
11. Trade or profession Security Guard
12. Kind of industry K-Mart
13. Date last worked 23 Apr 1970 14. Total years 3
15. If married name of spouse Genevieve (Gugger) McIntosh
16. NAME of Father Ronald McIntosh
17. BIRTHPLACE East Bay
18. NAME of Mother Catherine McGillivrey
19. BIRTHPLACE Cape Breton
20. Signature of Informant Reggie McIntosh
address McLeod's Road, Glace Bay
Relationship to deceased Son
21. Place of burial St Joseph's Cemetery, Glace Bay
Date of burial 27 Apr 1970
22. Undertaker W J McGillivray Funeral Homes Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 24, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488421
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