Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Beulah McKenzie death at Glace Bay, Cape Breton County on October 6, 1970

Female Death Registration: Year: 1970 number: 6546

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006546

1. PLACE OF DEATH   County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital

3. PRINT NAME OF DECEASED McKenzie, Beulah

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Dutch

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 9  26, 1892

10. AGE in  Years78  Months0  Days10 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry At Home

13. Date last worked       14. Total years

15. If married name of spouse William McKenzie

16. NAME of Father William Collupy

17. BIRTHPLACE Nova Scotia

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Wm McKenzie

      address 7 1/2 R North St., Glace Bay

      Relationship to deceased Husband

21. Place of burial Forest Haven, Sydney & Glace Bay Highway

      Date of burial October 8, 1970

22. Undertaker Patten's Funeral Home Ltd, 71 Union Street, Glace Bay

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 6, 1970

CAUSE OF DEATH

(a) Colon Cancer

(b)

(c)

other

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