Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Archie MacAulay death at North Sydney, Cape Breton County on December 28, 1971
Male Death Registration: Year: 1971 number: 7527
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007527
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED MacAulay, John Archie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 15, 1897
10. AGE in Years74 Months7 Days13 | hrs or mins
11. Trade or profession Retired Farmer
12. Kind of industry Mixed Farming
13. Date last worked 1961 14. Total years 40 years
15. If married name of spouse
16. NAME of Father Archie MacAulay
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie MacAulay
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Raymond McCormick
address Gannon Road, North Sydney, NS
Relationship to deceased Nephew
21. Place of burial Upper Leitches Creek, Cape Breton Co., NS
Date of burial 30 December 1971
22. Undertaker W. J. Dooley Funeral Services Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 28, 1971
CAUSE OF DEATH
(a) Carcinoma of Kidney
(b) Metastases to Liver
(c)
other Non-functioning left Kidney
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