Male Death Registration: Year: 1971 number: 1118
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001118
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution Junction Road Boarding House
3. PRINT NAME OF DECEASED Henwood, Clarence Wilbert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 23, 1889
10. AGE in Years81 Months10 Days17 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Lumbering
13. Date last worked 1962 14. Total years 59
15. If married name of spouse Jennie May Henwood
16. NAME of Father James Henwood
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Skidmore
19. BIRTHPLACE Nova Scotia
20. Signature of Informant W.H. Brown
address 5 McFarlane Street, Springhill, Nova Scotia
Relationship to deceased
21. Place of burial Springhill, Nova Scotia
Date of burial January 12, 1971
22. Undertaker A.H. Brown Funeral Service Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493196
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