Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas Fred MacLaren death at Port Clyde, Shelburne County on January 14, 1971
Male Death Registration: Year: 1971 number: 1161
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001161
1. PLACE OF DEATH County of Shelburne If in City or Town Port Clyde
If death occured in a hospital or institution Port Clyde
3. PRINT NAME OF DECEASED MacLaren, Douglas Fred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 24, 1911
10. AGE in Years59 Months6 Days20 | hrs or mins
11. Trade or profession Salvage Yard Inspector
12. Kind of industry Board of Public Utilities
13. Date last worked January 14, 1971 14. Total years 3
15. If married name of spouse Aileen MacLaren
16. NAME of Father Fredwell MacLaren
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jeanetta Van Norden
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Aileen MacLaren
address Port Clyde, Shel. Co.
Relationship to deceased Wife
21. Place of burial Port Clyde
Date of burial January 18, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 14, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other
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