Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Gordon MacKenzie death at Halifax, Halifax County on August 3, 1970
Male Death Registration: Year: 1970 number: 4734
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004734
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED MacKenzie, Clarence Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE West Branch
9. DATE OF BIRTH 2 16, 1926
10. AGE in Years44 Months5 Days18 | hrs or mins
11. Trade or profession Can Keys Fibre
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Dorothy Colborn
16. NAME of Father John James Mac Kenzie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ada Turner
19. BIRTHPLACE England
20. Signature of Informant Mrs Clarence MacKenzie
address Mt. Denson. Hants Co,Nova Scotia
Relationship to deceased Wife
21. Place of burial Mt. Denson
Date of burial august 6 1970
22. Undertaker Lindsay Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 3, 1970
CAUSE OF DEATH
(a) rupture of a berry aneurysum on the left middle cerebral artery
(b)
(c)
other
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