Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Everett Joseph Clow death at Halifax, Halifax County on October 12, 1970
Male Death Registration: Year: 1970 number: 5957
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005957
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Clow, Everett Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 10 8, 1944
10. AGE in Years26 Months Days4 | hrs or mins
11. Trade or profession Maritime Springlek
12. Kind of industry
13. Date last worked October 8, 1970 14. Total years
15. If married name of spouse Donna (Mansfield)
16. NAME of Father Everette Clow
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Madeline White
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Donna Clow
address 13 Main Ave., Fairview
Relationship to deceased wife
21. Place of burial Gate of Heaven Cemetery
Date of burial October 15, 1970
22. Undertaker J Allen Waeken
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 12, 1970
CAUSE OF DEATH
(a) Embolism
(b)
(c)
other
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