Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Gordon MacPherson death at Stellarton, Pictou County on January 7, 1971
Male Death Registration: Year: 1971 number: 1498
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001498
1. PLACE OF DEATH County of Pictou If in City or Town Stellarton
3. PRINT NAME OF DECEASED MacPherson, Samuel Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE New Glasgow
9. DATE OF BIRTH 6 29, 1910
10. AGE in Years60 Months6 Days9 | hrs or mins
11. Trade or profession Retired Guard Duty
12. Kind of industry Eastern Car.
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Evan MacPherson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anna Fraser
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. James Frazer
address 35 Park St., New Glasgow
Relationship to deceased Sister
21. Place of burial Riverside Cemetery, New Glasgow
Date of burial January 11, 1971
22. Undertaker R.H. Porter Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1971
CAUSE OF DEATH
(a) Perforated gastric ulcer
(b)
(c)
other
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