Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Joseph Kinsman Clarke death at Berwick, Kings County on June 30, 1970
Male Death Registration: Year: 1970 number: 4464
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004464
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED Clarke, Joseph Kinsman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Grafton
9. DATE OF BIRTH 11 6, 1916
10. AGE in Years53 Months7 Days24 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Marion Sanford
16. NAME of Father John H. Clarke
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Kate Rockwell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Marion Clark
address Berwick
Relationship to deceased wife
21. Place of burial Berwick Cemetery
Date of burial July 2, 1970
22. Undertaker H. C. Lindsay Funeral Homes Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 30, 1970
CAUSE OF DEATH
(a) Cancer (Cancer) Colon with widespread melastoma
(b)
(c)
other
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