Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Bernard MacIntosh death at North Sydney, Cape Breton County on October 6, 1970
Male Death Registration: Year: 1970 number: 6140
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006140
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth
3. PRINT NAME OF DECEASED MacIntosh, William Bernard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 19, 1914
10. AGE in Years56 Months4 Days17 | hrs or mins
11. Trade or profession Stevedore
12. Kind of industry CNR
13. Date last worked October 2, 1970 14. Total years
15. If married name of spouse Myrtle Jennex MacIntosh
16. NAME of Father Donald MacIntosh
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary MacPherson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Joan MacIntosh
address St. Mary's University, Halifax
Relationship to deceased Daughter
21. Place of burial Lakeside Cemetery
Date of burial October 8, 1970
22. Undertaker W. J. Dooley Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 6, 1970
CAUSE OF DEATH
(a) Upper G.I. Hemorrhage
(b) Ulcer
(c)
other
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