Male Death Registration: Year: 1970 number: 4047
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004047
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Haythorne, Clarence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nottingham, England
9. DATE OF BIRTH 2 3, 1892
10. AGE in Years78 Months4 Days26 | hrs or mins
11. Trade or profession Retired CNR
12. Kind of industry
13. Date last worked 1957 14. Total years 43
15. If married name of spouse Gertrude Alice Little
16. NAME of Father William Haythorne
17. BIRTHPLACE England
18. NAME of Mother Katherine Featherstone
19. BIRTHPLACE England
20. Signature of Informant Mrs. Doris Buttler
address 6359 Vienna St. Halifax
Relationship to deceased Daughter
21. Place of burial Mount Olivet, Halifax
Date of burial July 2, 1970
22. Undertaker R.D. Lindsay Funeral Home Ltd. Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 29, 1970
CAUSE OF DEATH
(a) Broncho Pneumonia
(b) Duodenal obstruction
(c)
other Carcinoma of Prostate
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489356
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