Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Roderick MacDonald death at Queensville, Inverness County on April 16, 1971
Male Death Registration: Year: 1971 number: 3515
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003515
1. PLACE OF DEATH County of Inverness If in City or Town Queensville
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED MacDonald, John Roderick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Kepock, Antigonish County
9. DATE OF BIRTH 11 12, 1885
10. AGE in Years85 Months5 Days4 | hrs or mins
11. Trade or profession Farming
12. Kind of industry Self employed
13. Date last worked 1969 14. Total years 45 yrs
15. If married name of spouse Mary K. MacDonald
16. NAME of Father Roderick MacDonald
17. BIRTHPLACE Keppoch, Antigonish Co., NS
18. NAME of Mother Mary MacDonald
19. BIRTHPLACE Keppoch, Antigonish Co., NS
20. Signature of Informant Gary A. Macdonald
address Queensville, NS
Relationship to deceased Grandson
21. Place of burial Glendale, INS
Date of burial April 16, 1971
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 16, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction with Thrombosis of Coronary Vessels
(b)
(c)
other
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