Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Henry Angus Siteman death at Musquodoboit Harbour, Halifax County on January 18, 1971
Male Death Registration: Year: 1971 number: 1623
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001623
1. PLACE OF DEATH County of Halifax If in City or Town Musquodoboit Harbour
If death occured in a hospital or institution Twin Oaks Memorial Hospital
3. PRINT NAME OF DECEASED Siteman, Henry Angus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 24, 1872
10. AGE in Years98 Months8 Days25 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked 1960 14. Total years 60
15. If married name of spouse
16. NAME of Father Henry Siteman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maria Champley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Clyde Siteman
address Musquodoboit Harbour
Relationship to deceased Son
21. Place of burial Ship Harbour, NS
Date of burial January 20, 1971
22. Undertaker Rowlings Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 18, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Generalized Arteriosclerosis
(c)
other
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