Male Death Registration: Year: 1970 number: 2257
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002257
1. PLACE OF DEATH County of Cape If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED MacKenzie, John William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 31, 1885
10. AGE in Years84 Months4 Days12 | hrs or mins
11. Trade or profession farmer
12. Kind of industry Farming
13. Date last worked 1960 14. Total years 50
15. If married name of spouse Lena MacDonald
16. NAME of Father Duncan MacKenzie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jessie MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Lena MacKenzie
address 141 A Shore Rd, Sydney Mines
Relationship to deceased Wife
21. Place of burial St James Cemetery, Big Bras d'Or
Date of burial March 16, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 13, 1970
CAUSE OF DEATH
(a) Broncho pneumonia
(b) Cerebral aortic
(c) Cerebral artheral sclerosis
other Peripheral vacculer disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487570
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