Male Death Registration: Year: 1970 number: 5979
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005979
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED MacPherson, Cyrus Shaw
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Georgetown. Prince Edward Island
9. DATE OF BIRTH 4 30, 1902
10. AGE in Years68 Months5 Days10 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Royal Canadian Mounted Police
13. Date last worked 1951 14. Total years 28
15. If married name of spouse Late Jane MacPherson
16. NAME of Father () MacPherson
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Charlotte Gerrior
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant (Mrs.) Cecelia Jewers
address 13 Homeward Dr Halifax
Relationship to deceased (daughter)
21. Place of burial Gate of Heaven
Date of burial October 13 1970
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1970
CAUSE OF DEATH
(a) Pulmonary Abscess
(b)
(c)
other Pyelonephritis Uremia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491287
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