Female Death Registration: Year: 1970 number: 4789
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004789
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
3. PRINT NAME OF DECEASED MacKenzie, Agnes
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 26, 1888
10. AGE in Years82 Months0 Days13 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked August 69 14. Total years 60
15. If married name of spouse George Alexander MacKenzie
16. NAME of Father Hector Carmichael
17. BIRTHPLACE Scotland
18. NAME of Mother Isabel MacLeod
19. BIRTHPLACE Scotland
20. Signature of Informant George macKenzie
address Big Bras D'Or
Relationship to deceased Son
21. Place of burial New Harris
Date of burial August 12, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 9, 1970
CAUSE OF DEATH
(a) Congestive Heart Failure
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490098
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