Male Death Registration: Year: 1971 number: 2949
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002949
1. PLACE OF DEATH County of Richmond If in City or Town Poulamon
If death occured in a hospital or institution died at home
3. PRINT NAME OF DECEASED MacDonald, Philip James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Sydney Forks, Sydney, C.B.
9. DATE OF BIRTH 6 11, 1898
10. AGE in Years72 Months9 Days17 | hrs or mins
11. Trade or profession pensioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Lenna MacDonald
16. NAME of Father James MacDonald
17. BIRTHPLACE Sydney Forks, Sydney, C.B.
18. NAME of Mother Martha Jane MacDonald
19. BIRTHPLACE Sydney Forks, Sydney, C.B.
20. Signature of Informant Lenna MacDonald
address Poulamond, Rich. Co.
Relationship to deceased Wife
21. Place of burial Descousse, Rich. Co.
Date of burial March 30, 1971
22. Undertaker C.A. Boucher, Arichat
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 28, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Myocardial Infarction
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495026
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