Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kenneth Clarke death at North Sydney, Cape Breton County on June 13, 1970
Male Death Registration: Year: 1970 number: 3939
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003939
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St Elizabeth Hospital
3. PRINT NAME OF DECEASED Clarke, Kenneth
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova scotia
9. DATE OF BIRTH 4 29, 1970
10. AGE in Years0 Months1 Days15 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Robert Clarke
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary White
19. BIRTHPLACE Nova scotia
20. Signature of Informant Ernest Clarke
address 142 Gannon Rd, North Sydney
Relationship to deceased Grandfather
21. Place of burial Holy Cross, North Sydney
Date of burial June 15, 1970
22. Undertaker W J Dooley Funeral Service Ltd, North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 13, 1970
CAUSE OF DEATH
(a) Suffocation
(b) Aspiration milk
(c)
other
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