Male Death Registration: Year: 1971 number: 5729
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005729
1. PLACE OF DEATH County of Antigonish If in City or Town East Havre Boucher
3. PRINT NAME OF DECEASED MacDonald, John Rory
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Judique South, Inverness County
9. DATE OF BIRTH 11 5, 1892
10. AGE in Years78 Months10 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Hugh John MacDonald
17. BIRTHPLACE Judique South, Inverness Co., NS
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant M. R. MacDonald for Mrs. James Anderson
address East Havre Boucher, Antigonish Co., NS
Relationship to deceased Niece
21. Place of burial Judique, Inverness Co., NS
Date of burial 29 September 1971
22. Undertaker Rod Macdonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 27, 1971
CAUSE OF DEATH
(a) Asphyxia
(b) Inhalation of Gastric Contents
(c) Acute Dilatation of Stomach
other Carcinoma of Kidney
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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