Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Samuel MacKenzie death at Riverton, Pictou County on October 27, 1971

Male Death Registration: Year: 1971 number: 6496

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006496

1. PLACE OF DEATH   County of Pictou If in City or Town Riverton
If death occured in a hospital or institution Pictou County Home for the Aged

3. PRINT NAME OF DECEASED MacKenzie, Samuel

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

widowed

8. BIRTHPLACE Gairloch, Pictou County

9. DATE OF BIRTH 3  14, 1881

10. AGE in  Years90  Months7  Days13 | hrs or mins

11. Trade or profession Farmer

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Alexander MacKenzie

17. BIRTHPLACE

18. NAME of Mother Bessie Fraser

19. BIRTHPLACE

20. Signature of Informant Kenneth MacLean

      address RR #1, Stellarton, NS

      Relationship to deceased Superintendent, Pictou County Home for the Aged

21. Place of burial Gairloch Cemetery, Pictou Co., NS

      Date of burial 29 October 1971

22. Undertaker Eagles Funeral Home, Westville, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 27, 1971

CAUSE OF DEATH

(a) Carcinomatosis

(b) Cancer of Prostate

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498569

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