Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frank Owen Cleveland death at Halifax, Halifax County on April 15, 1970
Male Death Registration: Year: 1970 number: 3407
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003407
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 Cleveland, Frank Owen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Berwick
9. DATE OF BIRTH 9 20, 1939
10. AGE in Years30 Months6 Days25 | hrs or mins
11. Trade or profession laborer
12. Kind of industry Trucker
13. Date last worked 1970 14. Total years
15. If married name of spouse Pauline Elaine Doherty
16. NAME of Father Charles Cleveland
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mable Cotters
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Pauline Cleveland
address Steam Mill
Relationship to deceased wife
21. Place of burial Elm Grove, Kentville
Date of burial April 18, 1970
22. Undertaker H C Lindsay Funeral Homes, Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 15, 1970
CAUSE OF DEATH
(a) Cardiac Dystole
(b) Septic anemia
(c) Bronchopleural fistula
other Part of Gastro Bronchial fistula
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