Male Death Registration: Year: 1970 number: 2970
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002970
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, Lloyd Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Ontario
9. DATE OF BIRTH 6 7, 1910
10. AGE in Years59 Months10 Days19 | hrs or mins
11. Trade or profession
12. Kind of industry Marine Engineer
13. Date last worked 1966 14. Total years 41
15. If married name of spouse Mrs Florence Clark
16. NAME of Father George Holland Clark
17. BIRTHPLACE England
18. NAME of Mother Elizabeth Jane Smith
19. BIRTHPLACE Ontario
20. Signature of Informant Florence L Clark
address Upper Blandford, Lun. Co.
Relationship to deceased Wife
21. Place of burial Blandford Lun. Co
Date of burial April 29th 1970
22. Undertaker Mattatall Funeral Home Hubbards
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 26, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488281
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