Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Wilfred Lawrence Claes death at Halifax, Halifax County on March 7, 1970
Male Death Registration: Year: 1970 number: 2073
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002073
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Claes, Wilfred Lawrence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 9 17, 1901
10. AGE in Years68 Months5 Days17 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fairey Canada
13. Date last worked 1967 14. Total years 30
15. If married name of spouse
16. NAME of Father Augustus Claes
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Forrest
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Helen McCullough
address 5 Woodside Ave., Dartmouth
Relationship to deceased Sister
21. Place of burial Mt. Herman Cemetery, Dartmouth
Date of burial March 10, 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 7, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Aspiration
(c)
other Gastric ulcer x 2; Amyotrophic lateral sclerosis
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