Male Death Registration: Year: 1971 number: 5400
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005400
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Henderson, Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
married
8. BIRTHPLACE Westville, Pictou County
9. DATE OF BIRTH 12 30, 1882
10. AGE in Years88 Months7 Days22 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry Coal Mining
13. Date last worked 1953 14. Total years 56
15. If married name of spouse Annie Lindsay MacEwan
16. NAME of Father William Henderson
17. BIRTHPLACE Ayrshire, Scotland
18. NAME of Mother Mary Gordon
19. BIRTHPLACE Albion Mines, (Stellarton), Pictou Co., NS
20. Signature of Informant H. L. Scamwell
address 5736 Atlantic St., Halifax, NS
Relationship to deceased Son in Law
21. Place of burial Abercrombie Cemetery, NS
Date of burial August 23, 1971
22. Undertaker Eagles Funeral Home, Westville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 21, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Cerebrovascular Accident
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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