Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Max Vernon MacKenzie death at Birchtown Road, Shelburne County on March 28, 1971
Male Death Registration: Year: 1971 number: 2816
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002816
1. PLACE OF DEATH County of Shelburne If in City or Town Birchtown Road
3. PRINT NAME OF DECEASED MacKenzie, Max Vernon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 3, 1908
10. AGE in Years62 Months4 Days25 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1971 14. Total years 30 yrs
15. If married name of spouse
16. NAME of Father Mr Leonard MacKenzie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maude Pilau
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Marjorie Coffui
address RR 2 Shelburne, NS
Relationship to deceased sister
21. Place of burial Pine Grove Cemetery, Shelburne, NS
Date of burial March 31, 1971
22. Undertaker H M Huskilson's Funeral Home, Shelb. NS H M Huskilson's Funeral Home, Shelb. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 28, 1971
CAUSE OF DEATH
(a) sudden natural death
(b)
(c)
other found dead
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