Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Carl MacKenzie death at Westville, Pictou County on October 2, 1971
Male Death Registration: Year: 1971 number: 6042
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006042
1. PLACE OF DEATH County of Pictou If in City or Town Westville
3. PRINT NAME OF DECEASED MacKenzie, Carl
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 18, 1896
10. AGE in Years75 Months4 Days12 | hrs or mins
11. Trade or profession Maintenance Man
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Annie MacKenzie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Catherine ODonnell
address Diamond St., Westville, NS
Relationship to deceased
21. Place of burial Gairlock Cemetery Nova Scotia
Date of burial October 4, 1971
22. Undertaker Eagles Funeral Home, Westville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 2, 1971
CAUSE OF DEATH
(a) Pulmonary Emphysema
(b)
(c)
other Cerebral Vascular Disease
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