Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Bernard MacInnis death at Point Edward, Cape Breton County on September 30, 1971
Male Death Registration: Year: 1971 number: 6562
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006562
1. PLACE OF DEATH County of Cape Breton If in City or Town Point Edward
If death occured in a hospital or institution Point Edward Hospital
3. PRINT NAME OF DECEASED MacInnis, James Bernard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
separated
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 9 7, 1916
10. AGE in Years55 Months Days23 | hrs or mins
11. Trade or profession Stores Manager
12. Kind of industry Toronto Hospital for Sick Children
13. Date last worked February 1971 14. Total years 4
15. If married name of spouse Rita Marley MacInnis
16. NAME of Father John Peter MacInnis
17. BIRTHPLACE Sydney, Nova Scotia
18. NAME of Mother Elizabeth MacNeil
19. BIRTHPLACE Christmas Island, CB, Nova Scotia
20. Signature of Informant Miss. Louise MacInnis
address 219 Royal Avenue, Sydney, NS
Relationship to deceased Sister
21. Place of burial Resurrection Cemetery, Sydney Forks, NS
Date of burial October 3, 1971
22. Undertaker T.W. Curry Limited, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 30, 1971
CAUSE OF DEATH
(a) Squamous carcinoma oral cavity
(b)
(c)
other Pulmonary Tb, M. A. Active
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