Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
George Clarke death at Sydney, Cape Breton County on September 24, 1970
Male Death Registration: Year: 1970 number: 5734
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005734
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Clarke, George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Hearts Content, Newfoundland
9. DATE OF BIRTH 2 21, 1893
10. AGE in Years77 Months7 Days3 | hrs or mins
11. Trade or profession General Foreman
12. Kind of industry Steel Plant
13. Date last worked 10 14. Total years
15. If married name of spouse Annie Peers Clarke
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Marion Nichols
address 48 Victoria Rd. Sydney
Relationship to deceased Daughter
21. Place of burial Forest Haven Memorial Gardens, Sydney
Date of burial September 27, 1970
22. Undertaker R.H. Fillmore Funeral Home Ltd. Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 24, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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