Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Henry Clifton Quartermain death at Berwick, Kings County on April 27, 1971
Male Death Registration: Year: 1971 number: 3068
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003068
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution West Kings Memorial Hospital
3. PRINT NAME OF DECEASED Quartermain, Henry Clifton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Fredericton, New Brunswick
9. DATE OF BIRTH 8 12, 1906
10. AGE in Years64 Months8 Days15 | hrs or mins
11. Trade or profession Clergyman
12. Kind of industry Anglican Church
13. Date last worked 14. Total years
15. If married name of spouse Helen Hutcheson
16. NAME of Father Walter Quartermain
17. BIRTHPLACE New Brunswick
18. NAME of Mother Margaret Reid
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs. Helen Quartermain
address Paisley Ave, Berwick, NS
Relationship to deceased Wife
21. Place of burial Auburn, NS
Date of burial April 29, 1971
22. Undertaker H.C. Lindsay's Funeral Homes Ltd. Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 27, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Coronary Occlusion
(c) Coronary Arteriosclerosis
other Amyotrophic Lateral Sclerosis
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