Male Death Registration: Year: 1971 number: 6224
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006224
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution MacGillivray Guest Home
3. PRINT NAME OF DECEASED MacDonald, Archibald John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Marion Bridge, Cape Breton County
9. DATE OF BIRTH 12 29, 1886
10. AGE in Years84 Months9 Days21 | hrs or mins
11. Trade or profession Engineer
12. Kind of industry Canadian National Railway
13. Date last worked December 1953 14. Total years 45 years
15. If married name of spouse
16. NAME of Father John MacDonald
17. BIRTHPLACE Marion Bridge, Cape Breton Co., NS
18. NAME of Mother Margaret Campbell
19. BIRTHPLACE Broughton, Cape Breton Co., NS
20. Signature of Informant Louise J. MacAulay
address 561 Westmount Road, Westmount, Cape Breton Co., NS
Relationship to deceased Daughter
21. Place of burial Hardwood Hill Cemetery, Sydney, NS
Date of burial 22 October 1971
22. Undertaker R. H. Fillmore Funeral Home Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 20, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498297
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