Male Death Registration: Year: 1970 number: 3752
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003752
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution D M Hospital
3. PRINT NAME OF DECEASED Himmelman, Clinton Ray
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 30, 1914
10. AGE in Years55 Months7 Days0 | hrs or mins
11. Trade or profession self employed
12. Kind of industry trucking
13. Date last worked 14. Total years
15. If married name of spouse FredaHimmelman
16. NAME of Father Richard Himmelman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ada Demone
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Freda Himmelman
address Auburndale, Lun. Co.
Relationship to deceased wife
21. Place of burial Bridgewater
Date of burial June 2, 1970
22. Undertaker Charles Sweeney, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 30, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489062
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