Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clifford Kelly death at Sydney, Cape Breton County on August 30, 1970
Male Death Registration: Year: 1970 number: 5234
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005234
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa, Sydney
3. PRINT NAME OF DECEASED Kelly, Clifford
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 10, 1883
10. AGE in Years86 Months10 Days20 | hrs or mins
11. Trade or profession Telegraph Operator
12. Kind of industry
13. Date last worked August 1945 14. Total years 40 years
15. If married name of spouse
16. NAME of Father William Kelly
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Crewe
19. BIRTHPLACE England
20. Signature of Informant Mrs. Sidney Oram
address 23 Main Street, Sydney Mines
Relationship to deceased Niece
21. Place of burial Lakeside, North Sydney
Date of burial 1 September 1970
22. Undertaker George R. Francis, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 30, 1970
CAUSE OF DEATH
(a) Bronchopheumonia
(b) Arteriosclerotic Cardiac Disease
(c)
other Carcinoma of Prostate
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