Male Death Registration: Year: 1971 number: 7109
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007109
1. PLACE OF DEATH County of Shelburne If in City or Town Jordon Bay
3. PRINT NAME OF DECEASED MacAlpine, John Churchill Locke
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 26, 1903
10. AGE in Years67 Months11 Days10 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1961 14. Total years 20 years
15. If married name of spouse
16. NAME of Father Robert MacAlpine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Morrison
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Sydney McLean
address Jordan Bay, Shelburne Co., NS
Relationship to deceased Sister in Law
21. Place of burial Jordan Ferry, Shelburne Co., NS
Date of burial 9 December 1971
22. Undertaker Huskilson's Funeral Home, Shelburne Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 6, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499181
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