Male Death Registration: Year: 1970 number: 4644
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004644
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St Martha's Hospital
Antigonish
3. PRINT NAME OF DECEASED MacGillivary, Paul
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Antigonish
9. DATE OF BIRTH 7 18, 1970
10. AGE in Years Months Days4 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Allan MacGillivary
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Audrey Arbuckle
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Audrey MacGillivary
address Morristown
Relationship to deceased Mother
21. Place of burial Morristown
Date of burial July 23, 1970
22. Undertaker John Allan MacGillivary (father) Morristown, Ant. Co
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 22, 1970
CAUSE OF DEATH
(a) Hyaline Membrane Disease
(b) Prematurity-33 weeks
(c)
other 1st trimester bleeding
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489953
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