Male Death Registration: Year: 1971 number: 6581
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006581
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 MacIntosh, Bernard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 5 30, 1891
10. AGE in Years80 Months5 Days | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Freda
16. NAME of Father John MacIntosh
17. BIRTHPLACE Cape Breton
18. NAME of Mother Catherine Farrell
19. BIRTHPLACE Cape Breton
20. Signature of Informant Mrs. Freda MacIntosh
address Mira Ferry, Cape Breton
Relationship to deceased wife
21. Place of burial St. Joseph Cemetery, Mira Ferry
Date of burial November 2, 1971
22. Undertaker T.W. Curry Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 30, 1971
CAUSE OF DEATH
(a) Leukemia
(b) Chronic ?
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498654
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