Male Death Registration: Year: 1971 number: 2744
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002744
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St Elizabeth Hospital, North Sydney, NS
3. PRINT NAME OF DECEASED Buffett, Henry Leslie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 10 27, 1905
10. AGE in Years65 Months5 Days16 | hrs or mins
11. Trade or profession Stevadore
12. Kind of industry Stevadoring
13. Date last worked 1969 14. Total years 10
15. If married name of spouse Ada Grandy
16. NAME of Father Gabriel Buffett
17. BIRTHPLACE Newfoundland
18. NAME of Mother Mary Graham
19. BIRTHPLACE Newfoundland
20. Signature of Informant Roland Buffett
address 2 Cabot St, North Sydney, NS
Relationship to deceased son
21. Place of burial Lakeside Cemetery, North Sydney, NS
Date of burial April 15, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd North Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 12, 1971
CAUSE OF DEATH
(a) Glomerulonephritis
(b) Hypertension
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494821
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