Male Death Registration: Year: 1970 number: 3558
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003558
1. PLACE OF DEATH County of Inverness If in City or Town Port Hastings
If death occured in a hospital or institution Maritime Sand & Gravel
3. PRINT NAME OF DECEASED Allan , Bruce MacDougall
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Rockingham
9. DATE OF BIRTH 10 1, 1909
10. AGE in Years60 Months7 Days20 | hrs or mins
11. Trade or profession Weigher
12. Kind of industry Mar. Sand & Gravel
13. Date last worked May 21, 1970 14. Total years
15. If married name of spouse
16. NAME of Father J Lorne Allan
17. BIRTHPLACE Toronto
18. NAME of Mother Grace McLarren
19. BIRTHPLACE Halifax
20. Signature of Informant Mr J M Allan
address 9 Laurel Lane, Clayton Park, Halifax
Relationship to deceased Brother
21. Place of burial Mt Hermon Cem, Dart.
Date of burial May 23, 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 21, 1970
CAUSE OF DEATH
(a) Aspiration pneumonia
(b) Acute gastric and ocsophageal varicosities
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488868
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