Male Death Registration: Year: 1971 number: 3147
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003147
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED MacEachern, Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Antigonish
9. DATE OF BIRTH 7 4, 1964
10. AGE in Years6 Months8 Days21 | hrs or mins
11. Trade or profession Student
12. Kind of industry Lakevale Elementary School
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Ronald MacEachern
17. BIRTHPLACE NS
18. NAME of Mother Lillian Kerwin
19. BIRTHPLACE NS
20. Signature of Informant Ronald MacEachern
address Ballentine's Cove, Ant. Co. NS
Relationship to deceased Father
21. Place of burial Holy Rosary R.C. Cemetery, Ballentine's Cove
Date of burial March 28/ 71
22. Undertaker Curry Bros. Funeral Directors Ltd, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 25, 1971
CAUSE OF DEATH
(a) Cerebral Haemorrhage
(b)
(c)
other Provisional Diagnosis - To be amended
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495223
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