Male Death Registration: Year: 1970 number: 5131
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005131
1. PLACE OF DEATH County of Kings If in City or Town Steam Mill Village
3. PRINT NAME OF DECEASED Dill, Clarence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
divorced
8. BIRTHPLACE Canard
9. DATE OF BIRTH 5 24, 1902
10. AGE in Years68 Months2 Days15 | hrs or mins
11. Trade or profession Le
12. Kind of industry
13. Date last worked 1965 14. Total years
15. If married name of spouse
16. NAME of Father James Dill
17. BIRTHPLACE Windsor
18. NAME of Mother Annie Melvin
19. BIRTHPLACE Canning
20. Signature of Informant Irving Dill
address Bridgetown
Relationship to deceased Son
21. Place of burial Chipman Corner Cemetery
Date of burial August 11, 1970
22. Undertaker H.C. Lindsay Funeral Home, Wolfville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 8, 1970
CAUSE OF DEATH
(a) Cord Compression
(b)
(c)
other Accident driving bicycle. Struck by car fractured neck
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490439
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