Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Howard Stanley Hersey death at Yarmouth, Yarmouth County on January 7, 1971
Male Death Registration: Year: 1971 number: 1168
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001168
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yar. Regional Hospital
3. PRINT NAME OF DECEASED Hersey, Howard Stanley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 4 25, 1899
10. AGE in Years71 Months8 Days13 | hrs or mins
11. Trade or profession Utility Personal
12. Kind of industry
13. Date last worked 1954 14. Total years
15. If married name of spouse Jeannette Hersey
16. NAME of Father William Hersey
17. BIRTHPLACE Yarmouth
18. NAME of Mother Louise Malone
19. BIRTHPLACE Woods Harbour
20. Signature of Informant Arthur Johnson
address Wellington, Yar Co.
Relationship to deceased Son
21. Place of burial Mt. Cem. Yarmouth
Date of burial January 9, 1971
22. Undertaker H.M. Huskinson's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1971
CAUSE OF DEATH
(a) Cerebro Vasc. accident
(b) ASHD
(c)
other Bronchitis
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