Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harvey Seymour MacKenzie death at Halifax, Halifax County on September 5, 1971
Male Death Registration: Year: 1971 number: 5324
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005324
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Fairview Villa
3. PRINT NAME OF DECEASED MacKenzie, Harvey Seymour
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Eastern Passage
9. DATE OF BIRTH 8 14, 1880
10. AGE in Years91 Months Days22 | 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
16. NAME of Father Edward MacKenzie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. Standly MacKenzie
address 26 Chittich Ave., Dart.
Relationship to deceased Son
21. Place of burial Mt. Hermon Cem., Dartmouth
Date of burial Sept 8, 1971
22. Undertaker Mattatall Funeral Ser. Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 5, 1971
CAUSE OF DEATH
(a) ? Coronary thrombosis
(b)
(c)
other Diarrhea
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