Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Eugina Clarke death at Pictou, Pictou County on April 19, 1970

Female Death Registration: Year: 1970 number: 3642

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003642

1. PLACE OF DEATH   County of Pictou If in City or Town Pictou
If death occured in a hospital or institution Sutherland Harris Memorial Hospital

3. PRINT NAME OF DECEASED Clarke, Eugina

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Magdalen Islands

9. DATE OF BIRTH 4  23, 1885

10. AGE in  Years84  Months11  Days27 | hrs or mins

11. Trade or profession Housekeeper

12. Kind of industry

13. Date last worked 1967       14. Total years Life

15. If married name of spouse

16. NAME of Father Simmian Clarke

17. BIRTHPLACE Magdalen Islands

18. NAME of Mother Ellen TurNew Brunswickull

19. BIRTHPLACE Magdalen Islands

20. Signature of Informant Mrs. Nathan MacPhail

      address 84 St. Andrews Street, Pictou

      Relationship to deceased Niece

21. Place of burial St. James - Pictou

      Date of burial April 22, 1970

22. Undertaker McLaren Funeral Home, Pictou

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH April 19, 1970

CAUSE OF DEATH

(a) CVA

(b) fall at home - right hip

(c)

other

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