Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lilla Jessie Clough death at Lower Sackville, Halifax County on June 13, 1970
Female Death Registration: Year: 1970 number: 3866
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003866
1. PLACE OF DEATH County of Halifax If in City or Town Lower Sackville
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Clough, Lilla Jessie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE River John
9. DATE OF BIRTH 3 3, 1883
10. AGE in Years87 Months3 Days10 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Dr. C. D. Clough, D.D. S.
16. NAME of Father Roderick McCulloch
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. William Clough
address PO 26, Rr. Sackville
Relationship to deceased Son
21. Place of burial St. John's Cemetery, Lr. Sackville
Date of burial June 16 1970
22. Undertaker Lindsay's, Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 13, 1970
CAUSE OF DEATH
(a) Arteriosclerosis
(b) Senility
(c) Chronic Myocarditis
other Hypertensive Pneumonitis
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