Male Death Registration: Year: 1971 number: 3059
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003059
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, James Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Port Hood, Inv. County
9. DATE OF BIRTH 9 20, 1910
10. AGE in Years60 Months6 Days26 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Coal Miner
13. Date last worked 1965 14. Total years 30 yrs
15. If married name of spouse Mamie MacEachern
16. NAME of Father John MacEachern
17. BIRTHPLACE Judique, Inv. Co., NS
18. NAME of Mother Mary Agnes MacEachern
19. BIRTHPLACE Judique, NS
20. Signature of Informant Mamie MacEachern
address Forest St., Inverness, NS
Relationship to deceased Wife
21. Place of burial Inverness, NS
Date of burial April 15, 1971
22. Undertaker Rod MacDonald Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 15, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495135
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