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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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