Male Death Registration: Year: 1970 number: 5713
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005713
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 Reeves, Clarence Wayne
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 5, 1946
10. AGE in Years24 Months2 Days18 | hrs or mins
11. Trade or profession Machine Operator
12. Kind of industry Department of Highways
13. Date last worked September 18, 1970 14. Total years 2
15. If married name of spouse Alice Elizabeth MacLean
16. NAME of Father Clarence Reeves
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Martha Jordan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Daniel J. MacLean
address New Town
Relationship to deceased Father-in-Law
21. Place of burial St. Patricks Roman Catholic Cemetery, Lochaber
Date of burial September 26, 1970
22. Undertaker Curry Bros Funeral Directors Ltd. Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 23, 1970
CAUSE OF DEATH
(a) Compression of Nebulla
(b) Contusion of Brain
(c)
other Accident - car crashed into Bridge - fracture of skull
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491021
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