Male Death Registration: Year: 1971 number: 5692
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005692
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 MacDonald, Melville Burton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 8 19, 1899
10. AGE in Years72 Months1 Days4 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Coal Dealer
13. Date last worked 1961 14. Total years 13
15. If married name of spouse Henrietta Johnson
16. NAME of Father Melville MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Young
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Melville MacDonald
address Lyons Brook
Relationship to deceased Wife
21. Place of burial Sea View - Pictou
Date of burial September 26, 1971
22. Undertaker McLaren Funeral Home Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 23, 1971
CAUSE OF DEATH
(a) Cardiac Failure
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497766
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