Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clara Staples death at Sydney, Cape Breton County on February 13, 1970
Female Death Registration: Year: 1970 number: 1977
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001977
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Staples, Clara
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 10 8, 1901
10. AGE in Years68 Months4 Days5 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Donald MacDonald
address 25 East St., Sydney
Relationship to deceased None
21. Place of burial Hardwood Hill Cemetery, Sydney
Date of burial February 16, 1970
22. Undertaker R.H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 13, 1970
CAUSE OF DEATH
(a) Carcinoma of Sigmoid Colon with Metastases to spine etc.
(b)
(c)
other
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