Male Death Registration: Year: 1971 number: 1617
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001617
1. PLACE OF DEATH County of Guysbogough If in City or Town Newtown
If death occured in a hospital or institution Carbon Monoxide poisoning
3. PRINT NAME OF DECEASED Archibald, Henry Lawrence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 25, 1922
10. AGE in Years48 Months10 Days20 | hrs or mins
11. Trade or profession Electrical Engineer
12. Kind of industry
13. Date last worked 1965 14. Total years life
15. If married name of spouse
16. NAME of Father Arthur Archibald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Comeau
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Cecil Archibald
address New Town
Relationship to deceased Brother
21. Place of burial New Town
Date of burial 17 January 1971
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 14, 1971
CAUSE OF DEATH
(a) Coronary Atherosclerosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493695
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