Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Howard Maxwell Clark death at Bridgewater, Lunenburg County on October 30, 1970
Male Death Registration: Year: 1970 number: 6488
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006488
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Clark, Howard Maxwell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Lunenburg County
9. DATE OF BIRTH 3 19, 1916
10. AGE in Years54 Months7 Days11 | hrs or mins
11. Trade or profession Registered Nurse
12. Kind of industry Medical Statistician
13. Date last worked 1968 14. Total years 22
15. If married name of spouse
16. NAME of Father Howard Maxwell Clark
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Grace Freeman
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Verta Reeves
address Bridgewater
Relationship to deceased Sister
21. Place of burial Bridgewater
Date of burial November 1, 1970
22. Undertaker Charles Sweeny, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 30, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Congestive Cardiac Failure
(c) Hypertension
other
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