Male Death Registration: Year: 1970 number: 5076
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005076
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
3. PRINT NAME OF DECEASED MacLeod, Donald John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 18, 1912
10. AGE in Years57 Months10 Days22 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry Dominion Coal Company
13. Date last worked 1968 14. Total years 20
15. If married name of spouse Mary Belle MacLeod
16. NAME of Father John MacLeod
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Effie MacKillop
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Louis Burnett for Lev Campbell
address 16 Ocean View Ave. Dominion
Relationship to deceased Brother-in-Law
21. Place of burial Dominion
Date of burial August 12, 1970
22. Undertaker Patten's Funeral Home Ltd., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 9, 1970
CAUSE OF DEATH
(a) Drowning, Glace Bay Harbour
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490384
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