Male Death Registration: Year: 1970 number: 6556
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006556
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED MacEachern, Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Grand Mira
9. DATE OF BIRTH 1 6, 1890
10. AGE in Years80 Months9 Days23 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John MacEachern
17. BIRTHPLACE East Bay
18. NAME of Mother Catherine MacMillan
19. BIRTHPLACE Cape Breton
20. Signature of Informant Miss Mary Ann MacEachern
address 10 Samoset Street, Dorchester, Mass.
Relationship to deceased sister
21. Place of burial St. Margaret's Cemetery, Grand Mira
Date of burial Nov. 2, 1970
22. Undertaker T.W. Curry's Funeral Home, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 29, 1970
CAUSE OF DEATH
(a) Massive Pulmonary Edema
(b) Secondary to multiple rib fractures
(c)
other Accident - Car left highway
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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