Male Death Registration: Year: 1971 number: 3871
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003871
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED McKenzie, Archibald Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Inverness
9. DATE OF BIRTH 10 31, 1899
10. AGE in Years71 Months6 Days26 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 1959 14. Total years 40 yrs
15. If married name of spouse Maude MacDougall
16. NAME of Father Henry McKenzie
17. BIRTHPLACE Scotland
18. NAME of Mother Effie Roberts
19. BIRTHPLACE
20. Signature of Informant Wilfred J. MacKenzie
address New Waterford, Nova Scotia
Relationship to deceased Son
21. Place of burial St. Agnes Cemetery, New Waterford, NS
Date of burial May 29, 1971
22. Undertaker V.J. MvGillivray Funeral Homes Limited, New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 26, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495947
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