Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Fred McInnis death at Halifax, Halifax County on August 15, 1971

Male Death Registration: Year: 1971 number: 5081

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005081

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital

3. PRINT NAME OF DECEASED McInnis, Fred

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Irish

7. Single, Married

single

8. BIRTHPLACE Colchester Co

9. DATE OF BIRTH 7  12, 1903

10. AGE in  Years68  Months1  Days3 | hrs or mins

11. Trade or profession N/A

12. Kind of industry N/A

13. Date last worked N/A       14. Total years

15. If married name of spouse

16. NAME of Father  

17. BIRTHPLACE

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Dr. E. M. Fogo

      address University Ave.

      Relationship to deceased

21. Place of burial Dalhousie Anatomy Dept.

      Date of burial Aug 18, 1971

22. Undertaker Cruikshank's Funeral Home Ltd.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 15, 1971

CAUSE OF DEATH

(a) Bronchopneumonia

(b)

(c)

other

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