Male Death Registration: Year: 1971 number: 7673
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007673
1. PLACE OF DEATH County of Pictou If in City or Town Three Brooks
3. PRINT NAME OF DECEASED MacKenzie, Duncan Smith
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 4, 1938
10. AGE in Years33 Months9 Days25 | hrs or mins
11. Trade or profession Michelin Tire
12. Kind of industry
13. Date last worked 1971 14. Total years 1
15. If married name of spouse Emma Stewart
16. NAME of Father Clifford MacKenzie
17. BIRTHPLACE nova Scotia
18. NAME of Mother Elizabeth MacMaster
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Emma MacKenzie
address RR3 Pictou, NS (Three Brooks)
Relationship to deceased wife
21. Place of burial Waterside, Pictou, NS
Date of burial January 1 1972
22. Undertaker McLaren Funeral Home, Pictou NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 29, 1971
CAUSE OF DEATH
(a) Gun shot wound, head, suicide
(b)
(c)
other acute alcoholic intoxication - suicide
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499745
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