Male Death Registration: Year: 1971 number: 4162
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004162
1. PLACE OF DEATH County of Halifax If in City or Town Hammonds Plains
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED MacGillivray, John T. J.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 4 20, 1923
10. AGE in Years48 Months2 Days14 | hrs or mins
11. Trade or profession Foreman
12. Kind of industry Coca Cola
13. Date last worked 1971 14. Total years 20
15. If married name of spouse Doris Kuhn
16. NAME of Father Ronald A MacGillivray
17. BIRTHPLACE Halifax, NS
18. NAME of Mother Jennie Lye
19. BIRTHPLACE Halifax, NS
20. Signature of Informant J. R. MacGillivray
address Bedford, NS
Relationship to deceased Brother
21. Place of burial Gate of Heaven Cemetery, Lr. Sackville, NS
Date of burial July 6, 1971
22. Undertaker R O Lindsay Funeral Home Ltd. Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 4, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496237
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