Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Clifford Johnson death at Halifax, Halifax County on August 17, 1970

Male Death Registration: Year: 1970 number: 4894

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004894

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Basinview Home

3. PRINT NAME OF DECEASED Johnson, Clifford

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

African

7. Single, Married

single

8. BIRTHPLACE Halifax County

9. DATE OF BIRTH 3  12, 1896

10. AGE in  Years74  Months5  Days5 | hrs or mins

11. Trade or profession Laborer

12. Kind of industry Retired

13. Date last worked 1966       14. Total years 50

15. If married name of spouse

16. NAME of Father Scott Ellis Johnson

17. BIRTHPLACE Hammonds Plains

18. NAME of Mother Annie Elizabeth Kellam

19. BIRTHPLACE Halifax

20. Signature of Informant Joseph W. Johnson

      address 2787 Connolly St. Halifax

      Relationship to deceased Brother

21. Place of burial Camp Hill Cemetery Halifax

      Date of burial Aug 19, 1970

22. Undertaker Cruikshank Funeral Home

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 17, 1970

CAUSE OF DEATH

(a) Senility

(b) generalized arteriosclerosis

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490203

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