Male Death Registration: Year: 1971 number: 4237
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004237
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED MacLean, Donald John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 1, 1881
10. AGE in Years90 Months3 Days19 | hrs or mins
11. Trade or profession Retired Coal Miner
12. Kind of industry Dominion Coal Company
13. Date last worked 1951 14. Total years
15. If married name of spouse Katie Flora MacLean
16. NAME of Father Donald MacLean
17. BIRTHPLACE Scotland
18. NAME of Mother Portia MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ronald H. MacLean
address 14 Wilsons Lane, Dominion, C.B
Relationship to deceased Son
21. Place of burial Forest Haven Cemetery, Cape Breton Co NS
Date of burial June 22, 1971
22. Undertaker Pattens Funeral Home Ltd., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 20, 1971
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496312
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