Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Henry death at New Waterford, Cape Breton County on December 29, 1971
Male Death Registration: Year: 1971 number: 7528
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007528
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution Consolidated Hospital
3. PRINT NAME OF DECEASED Henry, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE New Waterford, Cape Breton County
9. DATE OF BIRTH 9 29, 1919
10. AGE in Years52 Months3 Days | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mary
16. NAME of Father Charles Henry
17. BIRTHPLACE Ireland
18. NAME of Mother Mary Fortune
19. BIRTHPLACE New Waterford, NS
20. Signature of Informant Mrs. Charles Henry
address 9 George Street, Scotchtown, NS
Relationship to deceased Wife
21. Place of burial St. Michael's Cemetery, Scotchtown, NS
Date of burial 1 January 1972
22. Undertaker V. J. McGillivray Funeral Homes Ltd., New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 29, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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