Male Death Registration: Year: 1970 number: 5655
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005655
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution 15 1/2 Sarnia Ave, Dartmouth
3. PRINT NAME OF DECEASED Cracklow, Daniel Marie Louis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Belgium
9. DATE OF BIRTH 1 29, 1923
10. AGE in Years47 Months7 Days18 | hrs or mins
11. Trade or profession
12. Kind of industry Bookeeper
13. Date last worked 14. Total years
15. If married name of spouse Ive Cracklow
16. NAME of Father Blackburn Cracklow
17. BIRTHPLACE England
18. NAME of Mother Cecile Alice Noel
19. BIRTHPLACE Belgium
20. Signature of Informant Mrs. Ive Cracklow
address 15 1/2 Sarnia Ave. Dart.
Relationship to deceased Wife
21. Place of burial Mt. Herman Cemetery
Date of burial Sept 19 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 16, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Rheumatic heart arteries sclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490963
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