Male Death Registration: Year: 1971 number: 7564
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007564
1. PLACE OF DEATH County of Hants If in City or Town South Maitland
3. PRINT NAME OF DECEASED Hennigar, Lloyd Roscoe
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 10, 1939
10. AGE in Years31 Months11 Days25 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Farming
13. Date last worked 5 October 1971 14. Total years life
15. If married name of spouse
16. NAME of Father Leslie Hennigar
17. BIRTHPLACE Maple Grove, Hants Co., NS
18. NAME of Mother Gladys Royles
19. BIRTHPLACE South Maitland, Hants Co., NS
20. Signature of Informant Mr. Leslie Hennigar
address Maple Grove, Hants Co., NS
Relationship to deceased Father
21. Place of burial Lattie's Brook, Hants Co., NS
Date of burial 8 October 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 5, 1971
CAUSE OF DEATH
(a) Asphyxiation
(b) Epileptic Seizure while bathing in brook
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499636
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