Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clayton Joseph Awalt death at Truro, Colchester County on November 13, 1970
Male Death Registration: Year: 1970 number: 6691
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006691
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Weir Nursing Home
3. PRINT NAME OF DECEASED Awalt, Clayton Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 26, 1888
10. AGE in Years82 Months4 Days18 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Amie Awalt
16. NAME of Father Charles Awalt
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alice Dimmel
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Olwin E Awalt
address 217 D Oakdene Ave, Kentville
Relationship to deceased Brother
21. Place of burial Bayswater
Date of burial Nov 16 1970
22. Undertaker Davis Funeral Home, Chester
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 13, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Cardiac Failure
(c) Arterosclerosis
other
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