Male Death Registration: Year: 1971 number: 1218
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001218
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED MacLachlan, Roderick Dan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE West Bay
9. DATE OF BIRTH 4 13, 1895
10. AGE in Years75 Months8 Days30 | hrs or mins
11. Trade or profession Naval Base
12. Kind of industry Security Officer
13. Date last worked 1961 14. Total years
15. If married name of spouse
16. NAME of Father Dougal MacLachlan
17. BIRTHPLACE West Bay, C.B.
18. NAME of Mother Catherine MacDonald
19. BIRTHPLACE Marble Mountain, C.B.
20. Signature of Informant Mrs. George MacLean
address 431 George St., Sydney
Relationship to deceased
21. Place of burial West Bay Cemetery, Inv. Co.
Date of burial January 14, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 12, 1971
CAUSE OF DEATH
(a) Emphysema
(b) Bronchitis ?As. Ht. disease
(c) Arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493296
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