Male Death Registration: Year: 1970 number: 5240
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005240
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution 20 School St. Glace Bay
3. PRINT NAME OF DECEASED MacDonald, Robert Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 4 19, 1902
10. AGE in Years68 Months4 Days14 | hrs or mins
11. Trade or profession trucker, self employed
12. Kind of industry retired
13. Date last worked 1967 14. Total years
15. If married name of spouse
16. NAME of Father William MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Daisy
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Catherine Hillgrove
address Seaview St. Glace Bay
Relationship to deceased Sister
21. Place of burial Greenwood, Glace Bay
Date of burial Sept 4 1970
22. Undertaker V. J. McGillivray Funeral Homes Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 2, 1970
CAUSE OF DEATH
(a) Chronic bronchitis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490548
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