Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Asa Wilkins MacKenzie death at Salmon River, Colchester County on August 26, 1971
Male Death Registration: Year: 1971 number: 5260
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005260
1. PLACE OF DEATH County of Colchester If in City or Town Salmon River
If death occured in a hospital or institution Weirs Nursing Home
3. PRINT NAME OF DECEASED MacKenzie, Asa Wilkins
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 29, 1884
10. AGE in Years86 Months7 Days28 | hrs or mins
11. Trade or profession Farmer (retired)
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Sadie
16. NAME of Father Roderick MacKenzie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Abigail McCabe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. A.W. MacKenzie
address Greenfield, Col. Co.
Relationship to deceased Wife
21. Place of burial Greenfield, Col. Co.
Date of burial August 29, 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 26, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b) Arteriosclerosis
(c)
other
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