Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clara Jane Johnson death at Liverpool, Queens County on April 23, 1970
Female Death Registration: Year: 1970 number: 3192
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003192
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Fahie's Nursing Home
3. PRINT NAME OF DECEASED Johnson, Clara Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Brookline, Norfolk, Massachusetts
9. DATE OF BIRTH 9 18, 1891
10. AGE in Years78 Months7 Days5 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Housewife
13. Date last worked 1965 14. Total years
15. If married name of spouse Charles Johnson
16. NAME of Father James ClatteNew Brunswickurg
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nancy Richards
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Frank B ClatteNew Brunswickurg
address Milton, Queens Co
Relationship to deceased Nephew
21. Place of burial Port Medway, Queens Co
Date of burial 26 Apr 1970
22. Undertaker Chandler's Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 23, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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