Male Death Registration: Year: 1971 number: 6210
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006210
1. PLACE OF DEATH County of Cape Breton If in City or Town Dutch Brook
3. PRINT NAME OF DECEASED MacDonald, John Angus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Dutch Brook, Cape Breton
9. DATE OF BIRTH 2 24, 1895
10. AGE in Years76 Months7 Days12 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Annie Gordon MacDonald
16. NAME of Father Norman MacDonald
17. BIRTHPLACE Dutch Brook
18. NAME of Mother Sara MacDonald
19. BIRTHPLACE Hillside, Mira
20. Signature of Informant Malcolm MacDonald
address Dutch Brook, Cape Breton
Relationship to deceased Son
21. Place of burial Oakfield Cemetery, Mira, Cape Breton
Date of burial 9 October 1971
22. Undertaker R.H. Fillmore Funeral Home Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 6, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other Asthma
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498283
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