Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bernard Edward Claes death at Upper Lawerencetown, Halifax County on August 5, 1970
Male Death Registration: Year: 1970 number: 4811
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004811
1. PLACE OF DEATH County of Halifax If in City or Town Upper Lawerencetown
3. PRINT NAME OF DECEASED Claes, Bernard Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE South Woodside
9. DATE OF BIRTH 7 30, 1910
10. AGE in Years60 Months Days6 | hrs or mins
11. Trade or profession Atlantic Sugar
12. Kind of industry
13. Date last worked Aug. 4, 1970 14. Total years 25
15. If married name of spouse Mary Claes
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Diana Conant
address Upper Lawrencetown
Relationship to deceased Daughter
21. Place of burial Memorial Gardens, Dartmouth
Date of burial 10 August 1970
22. Undertaker Mattatell Funeral Home, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 5, 1970
CAUSE OF DEATH
(a) Accidental Drowning
(b)
(c)
other
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