Male Death Registration: Year: 1970 number: 2533
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002533
1. PLACE OF DEATH County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St. Anns Hospital
3. PRINT NAME OF DECEASED MacKenzie, Ricky Lee
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Tatamagouche
9. DATE OF BIRTH 10 1, 1967
10. AGE in Years3 Months3 Days20 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Roy MacKenzie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Dollena Morrison
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Roy MacKenzie
address West Arichat
Relationship to deceased Mother
21. Place of burial Fox Harbour
Date of burial March 23, 1970
22. Undertaker Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 21, 1970
CAUSE OF DEATH
(a) Bronchial pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487845
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