Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Henry Spurgeon Haley death at Windsor, Hants County on June 24, 1970

Male Death Registration: Year: 1970 number: 3985

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003985

1. PLACE OF DEATH   County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital

3. PRINT NAME OF DECEASED Haley, Henry Spurgeon

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Martock

9. DATE OF BIRTH 3  3, 1886

10. AGE in  Years84  Months3  Days21 | hrs or mins

11. Trade or profession Carpenter

12. Kind of industry Retired

13. Date last worked 1960       14. Total years 65

15. If married name of spouse deceased

16. NAME of Father Robert  Haley

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Anne  King

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs. Edwin Hamilton

      address Hingham, Mass.

      Relationship to deceased Daughter

21. Place of burial St. Croix Cemetery

      Date of burial June 27 1970

22. Undertaker Lohnes Funeral Service Ltd, Windsor

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 24, 1970

CAUSE OF DEATH

(a) Carcinoma of Sigmoid

(b)

(c)

other Arteriosclerosis

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