Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Michael MacInnis death at Glace Bay, Cape Breton County on January 2, 1971
Male Death Registration: Year: 1971 number: 2609
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002609
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St Joseph's Hospital
3. PRINT NAME OF DECEASED MacInnis, Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 24, 1895
10. AGE in Years75 Months6 Days9 | hrs or mins
11. Trade or profession Miner & Veteran
12. Kind of industry Dominion Coal Company
13. Date last worked 1954 14. Total years 35 yrs
15. If married name of spouse
16. NAME of Father Malcolm MacInnis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie MacNeil
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John A McDonald
address 40-A (Loxmles?) St. Glace Bay, NS
Relationship to deceased brother in law
21. Place of burial St Anne Cemetery, Glace Bay
Date of burial January 5, 1971
22. Undertaker Curry's Funeral Home, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 2, 1971
CAUSE OF DEATH
(a) Cerebral Haemorrhage
(b)
(c) Coronary Thrombosis
other
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