Male Death Registration: Year: 1970 number: 4042
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004042
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Clarke, Frederick J
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 9, 1900
10. AGE in Years70 Months1 Days20 | hrs or mins
11. Trade or profession retired
12. Kind of industry watchman
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Frank Clarke
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Gertrude M. Halladay
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Frank Wm Clarke
address 3 Alton Dr. (Armdale) Halifax
Relationship to deceased Brother
21. Place of burial Currys Hill Cemetery, Halifax
Date of burial June 30, 1970
22. Undertaker Snow & Co. Ltd. Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 29, 1970
CAUSE OF DEATH
(a) Carcinoma of R Parotid
(b)
(c)
other Chronic Nephritis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489351
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