Male Death Registration: Year: 1971 number: 4976
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004976
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED MacKenzie, Neil Roy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Cape George Harbour
9. DATE OF BIRTH 12 1, 1897
10. AGE in Years73 Months7 Days26 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mary (Karrott) MacKenzie
16. NAME of Father Alexander MacKenzie
17. BIRTHPLACE St. Ann's, Nova Scotia
18. NAME of Mother Mary A. Morrison
19. BIRTHPLACE Baddeck, Nova Scotia
20. Signature of Informant Janice Ross (Mrs. Finlay)
address St. Peters
Relationship to deceased Sister
21. Place of burial Lakeview Cemetery, St. Peter's, NS
Date of burial July 29, 1971
22. Undertaker Alex A. Morrison, St. Peters, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 26, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Coronary Occlusion
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497051
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