Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles MacGillivary death at Sydney River, Cape Breton County on November 21, 1970
Male Death Registration: Year: 1970 number: 7183
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007183
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney River
If death occured in a hospital or institution Braemore Home
3. PRINT NAME OF DECEASED MacGillivary, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 12 26, 1914
10. AGE in Years55 Months10 Days26 | 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 Michael Francis MacGillivary
17. BIRTHPLACE Cape Breton
18. NAME of Mother Isabel MacDonald
19. BIRTHPLACE Cape Breton
20. Signature of Informant Arthur MacGillivary
address 34 Ashby Road, Sydney, NS
Relationship to deceased Brother
21. Place of burial Resurrection Cemetery, Sydney Forks, NS
Date of burial Nov. 23, 1970
22. Undertaker T.W. Curry Limited, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 21, 1970
CAUSE OF DEATH
(a) coronary infarction
(b)
(c)
other personality disorder due to chronic alcoholism
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