Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Edward Black death at Amherst, Cumberland County on January 21, 1970
Male Death Registration: Year: 1970 number: 1485
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001485
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Lockhart's Nursing Home, Amherst
3. PRINT NAME OF DECEASED Black, Clarence Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Point de Bute New Brunswick
9. DATE OF BIRTH 8 5, 1888
10. AGE in Years81 Months5 Days16 | hrs or mins
11. Trade or profession Merchant
12. Kind of industry General Store
13. Date last worked 1953 14. Total years 45
15. If married name of spouse Ethel Truman
16. NAME of Father Cyrus Edward Black
17. BIRTHPLACE Cumberland County
18. NAME of Mother Mary Alice Trenholm
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs. Gerald Truman
address Amherst
Relationship to deceased Daughter
21. Place of burial Amherst
Date of burial Jan. 23, 1970
22. Undertaker Campbell's Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 21, 1970
CAUSE OF DEATH
(a) Metastatic Carcinoma
(b)
(c)
other Paraplegia
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