Male Death Registration: Year: 1970 number: 6132
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006132
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital, Antigonish
3. PRINT NAME OF DECEASED MacKenzie, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 29, 1908
10. AGE in Years61 Months10 Days13 | hrs or mins
11. Trade or profession Farmer, fisherman
12. Kind of industry Farming and fishing
13. Date last worked 1969 14. Total years Life
15. If married name of spouse Catherine MacKenzie
16. NAME of Father Charles MacKenzie
17. BIRTHPLACE Morristown
18. NAME of Mother Catherine Cameron
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Catherine MacKenzie
address Morristown
Relationship to deceased Wife
21. Place of burial Lakevale
Date of burial October 15, 1970
22. Undertaker MacIsaac Funeral Home, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 12, 1970
CAUSE OF DEATH
(a) Carcinomatosis
(b) Carcinoma of pancreas
(c) Diabetes mellitus
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491439
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