Male Death Registration: Year: 1970 number: 7098
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007098
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital
3. PRINT NAME OF DECEASED MacAlpine, David Wayne
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Sheet Harbour
9. DATE OF BIRTH 11 23, 1970
10. AGE in Years Months Days | 15 hrs or 43 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 Arthur MacCormack
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Miss Mabel MacAlphine
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mabel MacAlphine
address 1191 Tower Road, Halifax
Relationship to deceased Mother
21. Place of burial Watt Section, Sheet Harbour, Halifax Co.
Date of burial Nov 25, 1970
22. Undertaker Duncan S. Crowell, PO Box 14, Sheet Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1970
CAUSE OF DEATH
(a) Prematurity
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492404
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