Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Walter Harold MacIntosh death at Halifax, Halifax County on August 11, 1971
Male Death Registration: Year: 1971 number: 4907
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004907
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution on Quinpool Road, Halifax
3. PRINT NAME OF DECEASED MacIntosh, Walter Harold
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 5 22, 1911
10. AGE in Years60 Months2 Days20 | hrs or mins
11. Trade or profession Cleaner
12. Kind of industry C.N.R.
13. Date last worked Aug 9th 1971 14. Total years 21
15. If married name of spouse Estelle Levy
16. NAME of Father Walter MacIntosh
17. BIRTHPLACE P.E.I.
18. NAME of Mother Edith Ballem
19. BIRTHPLACE P.E.I.
20. Signature of Informant Mrs Estelle MacIntosh
address 2629 King Street, Halifax
Relationship to deceased Wife
21. Place of burial Victoria West P.E.I.
Date of burial Aug 14th 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 11, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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