Male Death Registration: Year: 1971 number: 5950
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005950
1. PLACE OF DEATH County of Queens If in City or Town Milton
If death occured in a hospital or institution Main Highway #8 (at home)
3. PRINT NAME OF DECEASED MacDonald, Robert Douglas Earl
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Liverpool
9. DATE OF BIRTH 8 26, 1971
10. AGE in Years Months1 Days5 | hrs or mins
11. Trade or profession
12. Kind of industry Infant
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Robert Angus MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marie Alice Thorbourne
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Robert A. MacDonald
address Highway #8, Milton, Queens Co.
Relationship to deceased Father
21. Place of burial Liverpool, Queens Co.
Date of burial October 3, 1971
22. Undertaker Chandlers' Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 1, 1971
CAUSE OF DEATH
(a) Found dead in bed ?pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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