Male Death Registration: Year: 1971 number: 3751
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003751
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax, NS
3. PRINT NAME OF DECEASED MacDonald, Alphonse
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Pictou County
9. DATE OF BIRTH 9 9, 1908
10. AGE in Years62 Months9 Days2 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mrs. Annie MacDonald
16. NAME of Father Daniel MacDonald
17. BIRTHPLACE Thorburn, Pictou Co., NS
18. NAME of Mother Mary MacInnis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Annie MacDonald
address 36 Pellet Ave., New Waterford
Relationship to deceased Wife
21. Place of burial Mt. Carmel Cemetery, New Waterford
Date of burial June 14, 1971
22. Undertaker MacGillivray Funeral Home, New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 11, 1971
CAUSE OF DEATH
(a) Cardiac Arrhythmia - Arrest
(b) Respiratory, Renal, Cardiac Failure
(c) Septicemic Mycosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495827
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