Male Death Registration: Year: 1971 number: 4263
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004263
1. PLACE OF DEATH County of Guysborough If in City or Town Guysborough
If death occured in a hospital or institution Guysborough Memorial Hospital
3. PRINT NAME OF DECEASED Andrews, John Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 8, 1905
10. AGE in Years65 Months10 Days14 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1966 14. Total years
15. If married name of spouse
16. NAME of Father John Andrews
17. BIRTHPLACE NS
18. NAME of Mother Harriet Gosbee
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Henry Andrews
address PO Box 167, Guysborough, NS
Relationship to deceased Wife
21. Place of burial Guysborough, NS
Date of burial June 25, 1971
22. Undertaker Thompson & Haverstock Funeral Home, Guysborough, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 23, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Carcinoma of Pancreas
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496338
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