Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Johan Jessie MacLeod death at North Sydney, Cape Breton County on October 23, 1971

Male Death Registration: Year: 1971 number: 6330

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006330

1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital

3. PRINT NAME OF DECEASED MacLeod, Johan Jessie

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

single

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 12 25, 1887

10. AGE in Years83 Months9 Days28 | hrs or mins

11. Trade or profession Registered Nurse

12. Kind of industry Nursing

13. Date last worked 1959 14. Total years 50

15. If married name of spouse

16. NAME of Father John MacLeod

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Sarah Smith

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Gordon MacLeod

address 27 Windsor Avenue Sydney Mines, Nova Scotia

Relationship to deceased Nephew

21. Place of burial St. James Cemetery 27 Windsor Avenue Big Bras d'Or, Nova Scotia

Date of burial October 26, 1971

22. Undertaker Fillmore and Whitman Funeral Home Ltd., Sydney Mines, Nova Scotia

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 23, 1971

CAUSE OF DEATH

(a) xxx xxxxx failure

(b) Sev Blood Dyscrasia

other Trauma

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Note: 24(I)(a) - could not decipher the Disease or condition directly leading to death.

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