Male Death Registration: Year: 1970 number: 5456
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005456
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED MacIssac, William Stephen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE New Waterford
9. DATE OF BIRTH 4 20, 1950
10. AGE in Years20 Months4 Days14 | hrs or mins
11. Trade or profession Clerk
12. Kind of industry Grocery Store
13. Date last worked 1970 14. Total years 1
15. If married name of spouse
16. NAME of Father William MacIssac
17. BIRTHPLACE New Waterford
18. NAME of Mother Virginia Zabensky
19. BIRTHPLACE New Waterford
20. Signature of Informant Mr William MacIssac
address 52 Roches Rd., New Waterford
Relationship to deceased Father
21. Place of burial Mt Carmel, New Waterford
Date of burial Sept 5, 1970
22. Undertaker V J MacGillvray F H, New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 3, 1970
CAUSE OF DEATH
(a) Hemmorage Leukemia
(b) Leukemia
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490764
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