Male Death Registration: Year: 1971 number: 3039
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003039
1. PLACE OF DEATH County of Guysborough If in City or Town Guysborough
If death occured in a hospital or institution Guysborough Hospital
3. PRINT NAME OF DECEASED McCabe, Henry Forman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Baddeck
9. DATE OF BIRTH 1 18, 1889
10. AGE in Years82 Months4 Days10 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ethel Loretta McCabe
16. NAME of Father John McCabe
17. BIRTHPLACE Baddeck, C.B.
18. NAME of Mother
19. BIRTHPLACE St George's, Newfoundland
20. Signature of Informant Ethel L. McCabe
address Guysborough
Relationship to deceased Wife
21. Place of burial Evergreen Cemetery, Guysborough, NS
Date of burial May 1, 1971
22. Undertaker Nathan Rhynold
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 28, 1971
CAUSE OF DEATH
(a) Carcinoma of Bronchia (2 years)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495115
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