Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ralph Cleveland death at Berwick, Kings County on November 17, 1970
Male Death Registration: Year: 1970 number: 6715
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006715
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution West Kings Memorial Hospital
3. PRINT NAME OF DECEASED Cleveland, Ralph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Berwick
9. DATE OF BIRTH 9 19, 1905
10. AGE in Years65 Months1 Days29 | 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 Ann Salsman
16. NAME of Father George Cleveland
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sylvia Cotters
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Pearl Cleveland
address Berwick West
Relationship to deceased wife
21. Place of burial Berwick Cemetery, Kings Co
Date of burial November 20, 1970
22. Undertaker H.C. Lindsay Funeral Home, Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 17, 1970
CAUSE OF DEATH
(a) Cerebral Vascular accident
(b)
(c)
other
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