Male Death Registration: Year: 1971 number: 7253
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007253
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED McInnis, Peter Allen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 23, 1881
10. AGE in Years90 Months3 Days14 | hrs or mins
11. Trade or profession Miner (veteran)
12. Kind of industry Dominion Coal Company
13. Date last worked 1951 14. Total years 50
15. If married name of spouse
16. NAME of Father Joseph McInnis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Mary McNeil
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Wilfred Bisson
address 272 King Edward St., Glace Bay
Relationship to deceased
21. Place of burial St. Ann's Cemetery, Glace Bay
Date of burial 10 Dec 1971
22. Undertaker Curry's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 7, 1971
CAUSE OF DEATH
(a) Basal Pneumonia
(b)
(c)
other Arteriosclerosis Heart Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499325
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