Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harold Eugene Farnsworth death at Annapolis Royal, Annapolis County on October 28, 1970
Male Death Registration: Year: 1970 number: 6416
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006416
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Annapolis General Hospital
3. PRINT NAME OF DECEASED Farnsworth, Harold Eugene
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 7, 1889
10. AGE in Years81 Months3 Days21 | hrs or mins
11. Trade or profession Machinist
12. Kind of industry
13. Date last worked 12 years 14. Total years 40
15. If married name of spouse Mrs. Janice Farnsworth
16. NAME of Father Stanley Farnsworth
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nellie Grace Winchester
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Janice Farnsworth
address Granville Ferry, R.R. 2
Relationship to deceased Wife
21. Place of burial Stoney Beach Cemetery
Date of burial October 31 1970
22. Undertaker Chisholm's Funeral Home, Ltd., Granville Ferry
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 28, 1970
CAUSE OF DEATH
(a) Dissecting aortic aneurysm
(b) Arteriosclerosis
(c)
other Emphysema
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