Male Death Registration: Year: 1971 number: 3058
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003058
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution St. Mary's Hospital
3. PRINT NAME OF DECEASED MacEachern, Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE New Waterford
9. DATE OF BIRTH 4 1, 1920
10. AGE in Years51 Months0 Days11 | hrs or mins
11. Trade or profession Disabled
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John MacEachern
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jessie Gillis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant G. Schombara
address Mary's Hill, Mabou, N.S
Relationship to deceased Nurse at Home for Retarded
21. Place of burial Port Hood, NS
Date of burial April 12,, 1971
22. Undertaker Rod MacDonald Funeral Home, Port Hawkesbury, Inverness
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 12, 1971
CAUSE OF DEATH
(a) (illegible)
(b) Cor Pulmonale
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495134
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