Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Donald Matheson death at Sydney, Cape Breton County on November 30, 1970
Male Death Registration: Year: 1970 number: 7191
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007191
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Matheson, Donald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Caribou Marsh, CB, NS
9. DATE OF BIRTH 3 31, 1884
10. AGE in Years86 Months7 Days30 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Matheson
17. BIRTHPLACE North Uist , Scotland
18. NAME of Mother Jessie Ferguson
19. BIRTHPLACE Scotland
20. Signature of Informant John Matheson
address Caribou Marsh C.B. NS
Relationship to deceased Nephew
21. Place of burial Riverview Cemetery, Mira, CB. NS
Date of burial Dec. 3, 1970
22. Undertaker R.H. Fillmore Funeral Home Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 30, 1970
CAUSE OF DEATH
(a) Cardiovascular Accident with hemolysis
(b) Arteriosclerosis
(c)
other
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