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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498409
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