Male Death Registration: Year: 1971 number: 6812
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006812
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED MacDonald, James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 6, 1907
10. AGE in Years64 Months10 Days8 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 10 November 1971 14. Total years life
15. If married name of spouse Mrs. Marie MacDonald
16. NAME of Father Hugh A. MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary MacGillivray
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James W. MacDonald
address Bailey Brook, Pictou Co., NS
Relationship to deceased Son
21. Place of burial Lismore, Pictou Co., NS
Date of burial 18 November 1971
22. Undertaker MacIsaac Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 14, 1971
CAUSE OF DEATH
(a) Multiple Pulmonary Emboli
(b) Surgery for Umbilical Hernioplasty
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498885
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