Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Artimus Witfield Clark death at Bridgetown, Annapolis County on April 24, 1970
Male Death Registration: Year: 1970 number: 2979
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002979
1. PLACE OF DEATH County of Annapolis If in City or Town Bridgetown
If death occured in a hospital or institution Mountain Lea Lodge
3. PRINT NAME OF DECEASED Clark, Artimus Witfield
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 13, 1888
10. AGE in Years81 Months7 Days11 | hrs or mins
11. Trade or profession Farmer & Laborer
12. Kind of industry
13. Date last worked 1960 14. Total years 50
15. If married name of spouse Jennie Adelia Trefry
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant
address
Relationship to deceased Daughter
21. Place of burial Riverside, Lawrencetown
Date of burial April 27th 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 24, 1970
CAUSE OF DEATH
(a) Carcinoma Prostate
(b)
(c)
other
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