Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas Arthur MacKenzie death at New Waterford, Cape Breton County on February 4, 1971
Male Death Registration: Year: 1971 number: 1586
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001586
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution Shock
3. PRINT NAME OF DECEASED MacKenzie, Douglas Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 7, 1948
10. AGE in Years22 Months11 Days28 | hrs or mins
11. Trade or profession Truck Operator
12. Kind of industry Oil Delivery
13. Date last worked 4 February 1971 14. Total years
15. If married name of spouse
16. NAME of Father Donald McKenzie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Blanche Budge
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Donald MacKenzie
address 80 Shade Street, Waltham, Massachusetts
Relationship to deceased Father
21. Place of burial Drummond Memorial Cemetery, Ross Farry
Date of burial 7 February 1971
22. Undertaker Fillmore and Whitman Funeral Home Ltd., Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 4, 1971
CAUSE OF DEATH
(a) Massive trauma
(b)
(c)
other
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Note: Struck by car, both legs severed