Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Grahame MacKenzie death at Sydney, Cape Breton County on April 13, 1971
Male Death Registration: Year: 1971 number: 3014
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003014
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED MacKenzie, Grahame
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Shubenacadie
9. DATE OF BIRTH 2 2, 1910
10. AGE in Years61 Months2 Days11 | hrs or mins
11. Trade or profession Vice Principal Pt.
12. Kind of industry Pt. Edward School
13. Date last worked 3 mos. 14. Total years
15. If married name of spouse Ida MacDonald
16. NAME of Father Kenneth MacKenzie
17. BIRTHPLACE Truro
18. NAME of Mother Ethel MacPhee
19. BIRTHPLACE Hants Co.
20. Signature of Informant Mrs. Barbara Turner
address 24 Water St, Glace Bay
Relationship to deceased Sister-in-Law
21. Place of burial Forest Haven Memorial Gardens, Sydney-Glace Bay Hwy, CB. NS
Date of burial April 16, 1971
22. Undertaker R H Fillmore Funeral Home Ltd, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 13, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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