Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Simon Atwell MacLean death at Dartmouth, Halifax County on November 30, 1971
Male Death Registration: Year: 1971 number: 6941
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006941
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
3. PRINT NAME OF DECEASED MacLean, Simon Atwell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Springville, Pictou County
9. DATE OF BIRTH 3 5, 1892
10. AGE in Years79 Months8 Days25 | hrs or mins
11. Trade or profession Retired Marine Engineer
12. Kind of industry Department of Transportation
13. Date last worked 1958 14. Total years 30 years
15. If married name of spouse Mrs Muriel MacLean
16. NAME of Father John C MacLean
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Unkown
19. BIRTHPLACE
20. Signature of Informant Mr Kenneth M Cochrane
address 12 Amelia Place, Dartmouth
Relationship to deceased Step-son
21. Place of burial Mount Hermon, Dartmouth
Date of burial December 3 1971
22. Undertaker Mattatall Funeral Service Ltd., Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 30, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Arteriosclerosis
(c)
other
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