Male Death Registration: Year: 1971 number: 1781
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001781
1. PLACE OF DEATH County of Kings If in City or Town New Minas
If death occured in a hospital or institution Home
3. PRINT NAME OF DECEASED Balsor, Henry Rosco Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German Dutch
7. Single, Married
married
8. BIRTHPLACE Halls Harbour
9. DATE OF BIRTH 3 26, 1904
10. AGE in Years66 Months10 Days19 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 1970 14. Total years
15. If married name of spouse Helen (Rockwell) Balsor
16. NAME of Father Asaph Balsor
17. BIRTHPLACE Halls Harbour, Kings Co.
18. NAME of Mother Jane Sawlor
19. BIRTHPLACE Halifax
20. Signature of Informant Mrs. Helen Balsor
address New Minas, Kings Co.
Relationship to deceased Wife
21. Place of burial Lakeview Cemetery, Billtown, Kings Co.
Date of burial February 16, 1971
22. Undertaker W.C. Hilte Funeral Home, Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 14, 1971
CAUSE OF DEATH
(a) Acute Hypertensive ?Encephalopathy
(b) Hypertension
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493859
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