Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kenneth Burnett death at Glace Bay, Cape Breton County on June 12, 1971
Male Death Registration: Year: 1971 number: 4381
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004381
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 Burnett, Kenneth
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 15, 1904
10. AGE in Years66 Months8 Days28 | hrs or mins
11. Trade or profession Retired Molder
12. Kind of industry Dominion Coal Company
13. Date last worked 1966 14. Total years 40 yrs
15. If married name of spouse
16. NAME of Father John Burnett
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine MacKinnon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Miss. Florence Burnett
address 149 Whitney Avenue, Sydney, NS
Relationship to deceased Niece
21. Place of burial Greenwood Cemetery, Glace Bay, NS
Date of burial June 14, 1971
22. Undertaker Patten's Funeral Home Ltd., Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1971
CAUSE OF DEATH
(a) Pneumonia
(b)
(c)
other Chronic Brain Syndrome
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