Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clara Jane Crummey death at Pugwash, Cumberland County on October 14, 1970
Female Death Registration: Year: 1970 number: 6042
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006042
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution Sunrise Villa
3. PRINT NAME OF DECEASED Crummey, Clara Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 4 4, 1882
10. AGE in Years88 Months6 Days10 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1936 14. Total years 37
15. If married name of spouse John J. Crummey
16. NAME of Father Benjamin Jellett
17. BIRTHPLACE Newfoundland
18. NAME of Mother Jane Long
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs Claude R. King
address Pugwash
Relationship to deceased Daughter
21. Place of burial Springhill
Date of burial October 17, 1970
22. Undertaker A.H. Brown Funeral Service Ltd., Springhill
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 14, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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