Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Edward Malcolm death at Antigonish, Antigonish County on July 17, 1970
Male Death Registration: Year: 1970 number: 5046
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005046
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Malcolm, Clarence Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Port Hawkesbury
9. DATE OF BIRTH 1 20, 1904
10. AGE in Years66 Months5 Days27 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Nova Scotia Pulp
13. Date last worked May 15, 1970 14. Total years 9
15. If married name of spouse Agatha
16. NAME of Father William Malcolm
17. BIRTHPLACE Port Malcolm
18. NAME of Mother Christine Graham
19. BIRTHPLACE Judique
20. Signature of Informant Mrs. B. Jean Mitchell
address Port Hawkesbury
Relationship to deceased Daughter
21. Place of burial Port Hawkesbury
Date of burial July 17, 1970
22. Undertaker Rod MacDonald Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 17, 1970
CAUSE OF DEATH
(a) Carcinomatosis
(b) Carcinoma of Stomach
(c)
other
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