Female Death Registration: Year: 1970 number: 2989
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002989
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Consolidated Hospital
3. PRINT NAME OF DECEASED Clarke, Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE St. Lawrence, Newfoundland
9. DATE OF BIRTH 3 31, 1905
10. AGE in Years65 Months0 Days21 | hrs or mins
11. Trade or profession At home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse William Clarke
16. NAME of Father Richard Clarke
17. BIRTHPLACE Newfoundland
18. NAME of Mother Angeline Slaney
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Francis Roach
address 37 LeDrew St., New Waterford
Relationship to deceased Daughter
21. Place of burial St. Agnes Cemetery, New Waterford
Date of burial April 24, 1970
22. Undertaker V.J. McGillivray Funeral Homes Ltd., New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 21, 1970
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Hypertension
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488300
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