Male Death Registration: Year: 1971 number: 1362
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001362
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Pleasant View Foster Villa
3. PRINT NAME OF DECEASED Henneberry, Percy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 18, 1884
10. AGE in Years86 Months6 Days5 | hrs or mins
11. Trade or profession Pensioner
12. Kind of industry at Dart
13. Date last worked 14. Total years
15. If married name of spouse wife deceased 1963
16. NAME of Father James Henneberry
17. BIRTHPLACE Nova Scotia
18. NAME of Mother ? Walsh
19. BIRTHPLACE Halifax County
20. Signature of Informant B. Moir for Mr. H. Robb
address 428 Pleasant St. Dart
Relationship to deceased
21. Place of burial Mt. Hermon Dart
Date of burial January 27 1971
22. Undertaker Dart. Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 23, 1971
CAUSE OF DEATH
(a) Possibly coronary ? as gathered from Hist. attending staff
(b)
(c) complicated by pneumonia
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493440
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