Male Death Registration: Year: 1971 number: 3155
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003155
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED MacDonald, Charles J.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 1, 1893
10. AGE in Years78 Months1 Days28 | hrs or mins
11. Trade or profession Maintenance Sydney Airport
12. Kind of industry Dept. of Transport
13. Date last worked March 1959 14. Total years 20
15. If married name of spouse Catherine MacDonald
16. NAME of Father Angus MacDonald
17. BIRTHPLACE Scotland
18. NAME of Mother Mary Elizabeth MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Malcolm MacDonald
address 16 Carroll St., Glace Bay
Relationship to deceased Son
21. Place of burial St. Ann's Cem., Glace Bay
Date of burial May 1, 1971
22. Undertaker Curry's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 29, 1971
CAUSE OF DEATH
(a) Generalized Arteriosclerosis with failure
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495231
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