Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel MacNeil death at New Waterford, Cape Breton County on December 22, 1971
Male Death Registration: Year: 1971 number: 7511
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007511
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution Consolidated Hospital
3. PRINT NAME OF DECEASED MacNeil, Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE New Waterford
9. DATE OF BIRTH 7 24, 1890
10. AGE in Years81 Months4 Days28 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry Coal Mining
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Samuel MacNeil
17. BIRTHPLACE New Campbellton
18. NAME of Mother Margaret MacNeil
19. BIRTHPLACE New Campbellton
20. Signature of Informant Information taken from personal papers
address
Relationship to deceased
21. Place of burial Mt. Carmel Cemetery, New Waterford
Date of burial December 24, 1971
22. Undertaker V. J. McGillivray Funeral Home, New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 22, 1971
CAUSE OF DEATH
(a) Cardiogenic Shock
(b) Myocardial Infarction
(c)
other Myocardial Infraction
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