Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

John Anderson Henderson death at Tatamagouche, Colchester County on October 9, 1971

Male Death Registration: Year: 1971 number: 6336

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006336

1. PLACE OF DEATH   County of Colchester If in City or Town Tatamagouche
If death occured in a hospital or institution Lillian Fraser Memorial Hospital

3. PRINT NAME OF DECEASED Henderson, John Anderson

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

married

8. BIRTHPLACE Trenton

9. DATE OF BIRTH 7  13, 1904

10. AGE in  Years67  Months2  Days26 | hrs or mins

11. Trade or profession Retired Farmer

12. Kind of industry Dairy

13. Date last worked Aug 1969       14. Total years 49

15. If married name of spouse Pearl Henderson

16. NAME of Father John D. Henderson

17. BIRTHPLACE Toney River, NS

18. NAME of Mother Marion  Elliott

19. BIRTHPLACE Black River, NS Pictou Co.

20. Signature of Informant John J. Henderson

      address River John RR2, NS

      Relationship to deceased Son

21. Place of burial Toney Mills, NS

      Date of burial Oct 11, 1971

22. Undertaker MacLeans Funeral Services, River John, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 9, 1971

CAUSE OF DEATH

(a) Coronary Occulsion

(b)

(c)

other

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