Male Death Registration: Year: 1971 number: 5833
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005833
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, John Francis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Roxbury, Massachusetts, USA
9. DATE OF BIRTH 4 21, 1911
10. AGE in Years60 Months5 Days7 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Hawker Siddeley
13. Date last worked 14. Total years
15. If married name of spouse Jean MacDonald
16. NAME of Father Daniel MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Robert MacNiel
address King's Head, Pictou Co., Nova Scotia
Relationship to deceased Daughter
21. Place of burial Lourdes Cemetery, Lourdes, Nova Scotia
Date of burial October 1st 1971
22. Undertaker R.H. Porter Funeral Homes LTD Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 28, 1971
CAUSE OF DEATH
(a) Aspiration Pneumonia
(b) Cardiac Arrest 2 days prior
(c) Above Knee Amputaion 2 days prior
other Peripheral Vascular Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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