Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John MacGillivray death at North Sydney, Cape Breton County on December 27, 1970
Male Death Registration: Year: 1970 number: 7543
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007543
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED MacGillivray, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 17, 1890
10. AGE in Years80 Months6 Days10 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Mixed Farming
13. Date last worked 1965 14. Total years 50
15. If married name of spouse
16. NAME of Father John MacGillivray
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary MacNeil
19. BIRTHPLACE Nova Scotia
20. Signature of Informant [J.T. MacNeil?]
address Caledonia St, North Sydney
Relationship to deceased 2nd cousin
21. Place of burial Iona
Date of burial December 29th, 1970
22. Undertaker W.S. Dooley Funeral Service Ltd, North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 27, 1970
CAUSE OF DEATH
(a) perforation - duodenum
(b)
(c)
other perforation - contained Aug/67
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