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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489295
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