Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roy Edward Clements death at Sydney, Cape Breton County on July 5, 1970
Male Death Registration: Year: 1970 number: 5065
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005065
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
3. PRINT NAME OF DECEASED Clements, Roy Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 5 9, 1923
10. AGE in Years47 Months1 Days27 | hrs or mins
11. Trade or profession Electrical Contractor
12. Kind of industry self-employed
13. Date last worked July 4, 1970 14. Total years
15. If married name of spouse Louisa Penny
16. NAME of Father George Clements
17. BIRTHPLACE Musquodoboit
18. NAME of Mother Harriett Cormier
19. BIRTHPLACE Margaree
20. Signature of Informant Mrs. Louisa Clements
address 477 Rotary Drive, Sydney
Relationship to deceased Widow
21. Place of burial Forest Haven Memorial Garden, Sydney
Date of burial July 7, 1970
22. Undertaker R.H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 5, 1970
CAUSE OF DEATH
(a) Coronary
(b)
(c)
other
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