Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Charles MacLeod death at Antigonish, Antigonish County on January 19, 1971
Male Death Registration: Year: 1971 number: 1335
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001335
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED MacLeod, Robert Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Lansdowne, Pictou County
9. DATE OF BIRTH 6 20, 1894
10. AGE in Years76 Months6 Days29 | hrs or mins
11. Trade or profession Service Manager
12. Kind of industry Retired
13. Date last worked 14. Total years life
15. If married name of spouse Mona MacLeod
16. NAME of Father Alexander MacLeod
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Gordon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mona MacLeod
address Antigonish
Relationship to deceased Wife
21. Place of burial Antigonish
Date of burial January 22, 1971
22. Undertaker MacIsaac Funeral Home, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 19, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Arteriosclerosis
(c) Pulmonary Embolism
other Arthritis Terminal Liver Failure
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