Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Hercules MacDonald death at Sydney, Cape Breton County on January 1, 1971
Male Death Registration: Year: 1971 number: 1083
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001083
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City of Sydney Hospital
3. PRINT NAME OF DECEASED MacDonald, Charles Hercules
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 5, 1913
10. AGE in Years57 Months5 Days27 | hrs or mins
11. Trade or profession Officer
12. Kind of industry Dept. Fisheries
13. Date last worked Nov. 1970 14. Total years 22 yrs.
15. If married name of spouse Christina MacDonald
16. NAME of Father Ronald MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lillian Bragg
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Christina MacDonald
address RR#1, Orangedale
Relationship to deceased Wife
21. Place of burial Orangedale
Date of burial January 4, 1971
22. Undertaker Thompson & ? Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 1, 1971
CAUSE OF DEATH
(a) Ca of stomach
(b)
(c)
other
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