Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mervyn Harold MacLeod death at Thorburn, Pictou County on December 16, 1970
Male Death Registration: Year: 1970 number: 7753
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007753
1. PLACE OF DEATH County of Pictou If in City or Town Thorburn
3. PRINT NAME OF DECEASED MacLeod, Mervyn Harold
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 24, 1910
10. AGE in Years60 Months3 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Miner
13. Date last worked 1965 14. Total years life
15. If married name of spouse
16. NAME of Father Dan S MacLeod
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Sutherland
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr Wilfred MacDonald
address Greenwood, Pictou
Relationship to deceased Daughter
21. Place of burial Thorburn
Date of burial 19 Dec 1970
22. Undertaker Angus, New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 16, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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