Male Death Registration: Year: 1970 number: 4316
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004316
1. PLACE OF DEATH County of Inverness If in City or Town Judique
If death occured in a hospital or institution died while walking along highway
3. PRINT NAME OF DECEASED MacEachern, Daniel Simon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Hillsdale
9. DATE OF BIRTH 5 12, 1900
10. AGE in Years69 Months10 Days | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 1950 14. Total years 40
15. If married name of spouse
16. NAME of Father Simon MacEachern
17. BIRTHPLACE Hillsdale
18. NAME of Mother Margaret Fortune
19. BIRTHPLACE River Denys
20. Signature of Informant Charles MacEachern
address Hillsdale, Inv. Co.
Relationship to deceased Brother
21. Place of burial Judique
Date of burial Mar 14, 1970
22. Undertaker Rod MacDonald Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 12, 1970
CAUSE OF DEATH
(a) Coronary Occlusion
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489625
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