Male Death Registration: Year: 1971 number: 6575
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006575
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED MacLeod, Norman John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Estmere, Cape Breton
9. DATE OF BIRTH 3 5, 1895
10. AGE in Years76 Months7 Days21 | hrs or mins
11. Trade or profession Gypson Plant
12. Kind of industry Little Narrows
13. Date last worked 1964 14. Total years
15. If married name of spouse Catherine Gillis
16. NAME of Father Roderick MacLeod
17. BIRTHPLACE Estmere, Vict. Co., C.B.
18. NAME of Mother Catherine MacLean
19. BIRTHPLACE Estmere, C.B.
20. Signature of Informant Fraser MacLeod
address Estmere, Vict. Co., C.B.
Relationship to deceased Son
21. Place of burial Estmere, Vict. Co., C.B.
Date of burial Oct 28, 1971
22. Undertaker R.H.Fillmore Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 26, 1971
CAUSE OF DEATH
(a) Generalized Peritonitis
(b) Operation
(c) Cancer Stomach
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498648
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