Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Amos Earl Clark death at Halifax, Halifax County on March 8, 1970
Male Death Registration: Year: 1970 number: 2077
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002077
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Clark, Amos Earl
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 30, 1899
10. AGE in Years70 Months3 Days8 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked March 6, 1970 14. Total years Life
15. If married name of spouse
16. NAME of Father George Clark
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Rachel Allison
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Murray Clark (per JAE)
address Enfield
Relationship to deceased Brother
21. Place of burial Latties Brook
Date of burial March 11, 1970
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 8, 1970
CAUSE OF DEATH
(a) Myocardial infarction
(b)
(c)
other
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