Male Death Registration: Year: 1971 number: 6143
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006143
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Atkinson, Henry Wilfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 22, 1890
10. AGE in Years81 Months0 Days22 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1959 14. Total years 52
15. If married name of spouse Elizabeth Atkinson
16. NAME of Father Howard Atkinson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Jane Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Minnie L. Hunt
address Crowell
Relationship to deceased Daughter
21. Place of burial Atwoods Brook
Date of burial October 17, 1921
22. Undertaker Kenney Funeral Service, Barrington
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 14, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Right sided Cerebral Vascular Accident
(c) Generalized Arterioscleosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498216
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