Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Thomas Clements death at Halifax, Halifax County on February 21, 1970
Male Death Registration: Year: 1970 number: 1819
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001819
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Clements, John Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 8 30, 1902
10. AGE in Years67 Months5 Days22 | hrs or mins
11. Trade or profession Retired Laborer
12. Kind of industry Labor
13. Date last worked Aug. 1969 14. Total years Life
15. If married name of spouse Late Viola Clements
16. NAME of Father Richard Clements
17. BIRTHPLACE Newfoundland
18. NAME of Mother Emily
19. BIRTHPLACE Newfoundland
20. Signature of Informant John R Clements
address 5641 Stairs Street, Halifax
Relationship to deceased Son
21. Place of burial St. John's Cemetery, Halifax
Date of burial February 23, 1970
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 21, 1970
CAUSE OF DEATH
(a) Coronary Occulsion
(b) Arteriosclerosis
(c)
other
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