Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Eunice Jane Henderson death at Middleton, Annapolis County on January 12, 1971

Female Death Registration: Year: 1971 number: 1205

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001205

1. PLACE OF DEATH   County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital

3. PRINT NAME OF DECEASED Henderson, Eunice Jane

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Belmont

9. DATE OF BIRTH 4  20, 1895

10. AGE in  Years75  Months8  Days23 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry

13. Date last worked 1965       14. Total years 50

15. If married name of spouse Maurice Henderson

16. NAME of Father Partick [Patrick] Delaney

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Nancy Crowe

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs. F. Miles Chipman

      address Wilmot, Anna Co.

      Relationship to deceased Daughter

21. Place of burial Nictaux

      Date of burial January 14, 1971

22. Undertaker Frederick ? Funeral Service, Middleton

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 12, 1971

CAUSE OF DEATH

(a) Sudden Death NYD (prob. CVA)

(b) Cerebral Atherosclerosis

(c)

other #R ankle

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493283

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