Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Henry William Adams death at Sandy Point, Shelburne County on March 27, 1971
Male Death Registration: Year: 1971 number: 2575
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002575
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Adams, Henry William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 7, 1892
10. AGE in Years79 Months2 Days20 | hrs or mins
11. Trade or profession Fishing & Farming
12. Kind of industry
13. Date last worked 1957 14. Total years 58 yrs
15. If married name of spouse Ena Adams
16. NAME of Father Prince Adams
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nora Adams
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ena Adams
address Barrington, NS
Relationship to deceased wife
21. Place of burial Lower East Pubnico, NS
Date of burial March 30, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 27, 1971
CAUSE OF DEATH
(a) Acute Resperatory Infection
(b) Generalized Cachexia
(c) Carcinoma of Rectum
other
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