Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gordon Clarke death at North Sydney, Cape Breton County on March 5, 1970
Male Death Registration: Year: 1970 number: 2103
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002103
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St.Elizabeth Hosp.
3. PRINT NAME OF DECEASED Clarke, Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 7, 1940
10. AGE in Years30 Months1 Days20 | hrs or mins
11. Trade or profession Stevadore
12. Kind of industry Stevadoring
13. Date last worked Sept. 1969 14. Total years 10
15. If married name of spouse Olive Elizabeth Symes
16. NAME of Father Richard Clarke
17. BIRTHPLACE Newfoundland
18. NAME of Mother Hatie Young
19. BIRTHPLACE Newfoungland
20. Signature of Informant Mrs Harry Clayton
address Dorset Ont. P.O. Box &2
Relationship to deceased Sister
21. Place of burial Lakeside Cemetary norrth Sdney
Date of burial March 8, 1970
22. Undertaker Fillmore and Whitman Funeral Home Ltd Notyh Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 5, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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