Male Death Registration: Year: 1970 number: 4164
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004164
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution at work
3. PRINT NAME OF DECEASED Clyke, Gordon Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE Truro
9. DATE OF BIRTH 11 18, 1952
10. AGE in Years17 Months6 Days23 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Construction
13. Date last worked June 11, 1970 14. Total years
15. If married name of spouse
16. NAME of Father Walter Clyke
17. BIRTHPLACE Truro
18. NAME of Mother Jennie Morton
19. BIRTHPLACE Bridgewater
20. Signature of Informant Walter Clyke
address 124 Ford St, Truro
Relationship to deceased Father
21. Place of burial Robie Street Truro
Date of burial June 13, 1970
22. Undertaker Kennedy Memorial Res, 135 Victoria St, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 11, 1970
CAUSE OF DEATH
(a) asphyxiation
(b)
(c)
other Accident - trench caved in - working in a ditch
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489473
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