Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John William MacKenzie death at New Glasgow, Pictou County on September 15, 1971
Male Death Registration: Year: 1971 number: 5655
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005655
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED MacKenzie, John William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Westville, Pictou County
9. DATE OF BIRTH 5 22, 1891
10. AGE in Years80 Months3 Days24 | hrs or mins
11. Trade or profession Retired Jeweler & Watch Maker
12. Kind of industry
13. Date last worked 1969 14. Total years 60 years
15. If married name of spouse Jennie MacDonald
16. NAME of Father E. S. MacKenzie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Agnes Faulds
19. BIRTHPLACE Linacy, Pictou Co., NS
20. Signature of Informant Mrs. A. W. Smith
address 3 Rockwood, Armdale, Halifax, NS
Relationship to deceased Daughter
21. Place of burial Brookside Cemetery, Stellarton, Pictou Co., NS
Date of burial 17 September 1971
22. Undertaker Angus, New Glasgow, Pictou Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 15, 1971
CAUSE OF DEATH
(a) Carcinoma of Prostate Gland
(b) Upper GI Tract Hemorrhages
(c) Duodenal Ulcer
other Chronic Myocarditis
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