Male Death Registration: Year: 1970 number: 5841
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005841
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Henderson, Frederick Roy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 4 17, 1892
10. AGE in Years78 Months5 Days11 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Isobel
16. NAME of Father Frederick Henderson
17. BIRTHPLACE New Brunswick
18. NAME of Mother Laura Gurdon
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs. Roy Henderson
address Bridgewater
Relationship to deceased Wife
21. Place of burial Bridgewater, N S
Date of burial Oct 1, 1970
22. Undertaker Charles Sweeney, B'water
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 28, 1970
CAUSE OF DEATH
(a) Stroke
(b) Generalized arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491149
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