Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Francis Xavier MacCormack death at Kentville, Kings County on November 25, 1970
Male Death Registration: Year: 1970 number: 7011
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007011
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Nova Scotia Sanatorium
3. PRINT NAME OF DECEASED MacCormack, Francis Xavier
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 19, 1909
10. AGE in Years61 Months3 Days6 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Department of National Defence
13. Date last worked 14. Total years
15. If married name of spouse Violet MacCormack
16. NAME of Father Daniel James MacCormack
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Christine Lamey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Francis MacCormack
address Tantallon
Relationship to deceased Wife
21. Place of burial St. Margarets Cemetery, Glen Margaret, Halifax Co.
Date of burial Nov 28, 1970
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 25, 1970
CAUSE OF DEATH
(a) Brochogenic Carcinoma
(b)
(c)
other
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