Male Death Registration: Year: 1970 number: 5402
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005402
1. PLACE OF DEATH County of Guysborough If in City or Town Sherbrook
If death occured in a hospital or institution St. Mary's Hospital
3. PRINT NAME OF DECEASED MacIntosh, Archibald Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Stillwater
9. DATE OF BIRTH 10 9, 1892
10. AGE in Years77 Months11 Days1 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Letitia Mason
16. NAME of Father William Murdock MacIntosh
17. BIRTHPLACE Stillwater
18. NAME of Mother Olive B. Hingley
19. BIRTHPLACE Indian River
20. Signature of Informant Mrs L. H. MacIntosh
address Sherbrooke
Relationship to deceased Wife
21. Place of burial Sherbrooke
Date of burial September 12, 1978
22. Undertaker Veinotte & Sons Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 10, 1970
CAUSE OF DEATH
(a) ArterioSclerotic Heart Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490710
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