Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Jane MacKenzie death at Glace Bay, Cape Breton County on October 8, 1970

Female Death Registration: Year: 1970 number: 6666

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006666

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 MacKenzie, Jane

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

widowed

8. BIRTHPLACE Scotland

9. DATE OF BIRTH 4  6, 1887

10. AGE in  Years83  Months6  Days2 | hrs or mins

11. Trade or profession House duties

12. Kind of industry At home

13. Date last worked       14. Total years

15. If married name of spouse William D. MacKenzie (Deceased)

16. NAME of Father William T. Wood

17. BIRTHPLACE Scotland

18. NAME of Mother Esther Smith

19. BIRTHPLACE Scotland

20. Signature of Informant J. MacKenzie

      address 96 Lowther Ave, Toronto, Ont

      Relationship to deceased Son

21. Place of burial Greenwood Cemetery, Glace Bay

      Date of burial October 10, 1970

22. Undertaker V.J. McGillivray Funeral Homes Limited, Glace Bay

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 8, 1970

CAUSE OF DEATH

(a) Cerebral thrombosis

(b) Arteriosclerosis

(c) Amputation of Leg

other

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