Male Death Registration: Year: 1971 number: 6454
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006454
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED MacCormick, Dennis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Sydney Mines
9. DATE OF BIRTH 8 13, 1883
10. AGE in Years88 Months2 Days12 | hrs or mins
11. Trade or profession Retired Insurance and Real Estate
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Bessie MacDonald
16. NAME of Father Daniel MacCormick
17. BIRTHPLACE Sydney Mines
18. NAME of Mother Joanne Sullivan
19. BIRTHPLACE Bras d'Or
20. Signature of Informant Mrs. Albert McGee
address Big Island
Relationship to deceased Daughter
21. Place of burial Holy Cross Cemetery, New Glasgow
Date of burial October 27, 1971
22. Undertaker R.H. Porter Funeral Homes Ltd. New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 25, 1971
CAUSE OF DEATH
(a) Chronic Lymphocytic Leukemia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498527
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