Male Death Registration: Year: 1970 number: 4768
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004768
1. PLACE OF DEATH County of Cape If in City or Town Glace Bay
If death occured in a hospital or institution St Joseph's Hospital
3. PRINT NAME OF DECEASED MacGillivray, Roderick Craig
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 25, 1970
10. AGE in Years0 Months2 Days4 | hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Roderick MacGillivray
17. BIRTHPLACE Nova Scotial
18. NAME of Mother Elaine McKinnon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant R J MacGillivray
address 5 Casey Lane, Glace Bay
Relationship to deceased Father
21. Place of burial St Anne's Cem, Glace Bay
Date of burial July 10 1970
22. Undertaker Curry's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 9, 1970
CAUSE OF DEATH
(a) Mongoloid with congenital heart
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490077
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