Male Death Registration: Year: 1971 number: 7054
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007054
1. PLACE OF DEATH County of Halifax If in City or Town East River Sheet Harbour
3. PRINT NAME OF DECEASED McInnis, Shermond Francis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 17, 1921
10. AGE in Years50 Months4 Days25 | hrs or mins
11. Trade or profession Electrical
12. Kind of industry N.S. Power Commission
13. Date last worked 09 Nov 1971 14. Total years 15
15. If married name of spouse Violet
16. NAME of Father John McInnis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Blanch Harnish
19. BIRTHPLACE Nova Scotia
20. Signature of Informant D. F. McInnis
address East River, Sheet Harbour, Halifax Co., NS
Relationship to deceased Son
21. Place of burial St. Andrews Anglican Cemetary, Watt Section, Halifax County
Date of burial 13 Nov 1971
22. Undertaker Duncan S. Crowell, Po Box 14, Sheet Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 11, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Myocardial Infarction
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499126
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