Male Death Registration: Year: 1971 number: 4021
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004021
1. PLACE OF DEATH County of Colchester If in City or Town Riversdale
If death occured in a hospital or institution Highway
3. PRINT NAME OF DECEASED MacDonald, Charles Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Truro
9. DATE OF BIRTH 7 7, 1944
10. AGE in Years26 Months11 Days5 | hrs or mins
11. Trade or profession Civil Engineer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Margaret Anderson
16. NAME of Father Earl MacDonald
17. BIRTHPLACE NS
18. NAME of Mother Ruth Brooder
19. BIRTHPLACE NS
20. Signature of Informant Earl MacDonald
address 11 Hillcrest Ave, Truro, NS
Relationship to deceased father
21. Place of burial Valley Crossroads Cemetery
Date of burial June 15, 1971
22. Undertaker P B Kennedy, Truro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1971
CAUSE OF DEATH
(a) Fractured base of Skull
(b)
(c)
other Accident: Motorcycle driver lost control & left Highway
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496096
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