Male Death Registration: Year: 1970 number: 2733
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002733
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Josephs Hospital
3. PRINT NAME OF DECEASED MacKenzie, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 19, 1913
10. AGE in Years57 Months2 Days2 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry DEVCO
13. Date last worked 1969 14. Total years 41
15. If married name of spouse Dorothy MacKenzie
16. NAME of Father Charles MacKenzie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Louisa Bennett
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Charles MacKenzie
address 13 Pleasant St. Dominion
Relationship to deceased Wife
21. Place of burial St Eugene's Cem. Dominion
Date of burial March 24th 1970
22. Undertaker Curry's Funeral Home Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 21, 1970
CAUSE OF DEATH
(a) Carcinoma of Stomach
(b)
(c)
other Biliary Tract Obst. 2nd Lymph Node
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488045
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