Male Death Registration: Year: 1971 number: 3104
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003104
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED MacLean, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 25, 1884
10. AGE in Years86 Months3 Days17 | hrs or mins
11. Trade or profession
12. Kind of industry Retired
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John MacLean
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary MacNeil
19. BIRTHPLACE Nova Scotia
20. Signature of Informant A. Noilhean
address Little Narrows
Relationship to deceased Cousin
21. Place of burial Sacred Heart Cemetery, McKinnon Hbr. Vic. Co.
Date of burial April 12 1971
22. Undertaker B. MacAskill, Baddeck
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 11, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Burns trunk, face, arms & legs 50%
(c) Chronic Bronchitis & Emphysema
other Accident in Alderwood Nursing Home, Baddeck. Clothing caught fire.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495180
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