Male Death Registration: Year: 1970 number: 2403
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002403
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 Beals, Clarence Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE North Preston
9. DATE OF BIRTH 4 15, 1914
10. AGE in Years55 Months11 Days2 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse Mrs Vera Beals
16. NAME of Father Edward Beals
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Louise Downey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Vera Beals
address North Preston.
Relationship to deceased Wife
21. Place of burial North Preston
Date of burial March 20, 1970
22. Undertaker Mattatall Funeral Home Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 17, 1970
CAUSE OF DEATH
(a) G-I Hemorrhage
(b) Sarcoidosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487716
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