Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Fredrick Campbell death at New Glasgow, Pictou County on June 3, 1970
Male Death Registration: Year: 1970 number: 6722
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006722
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Campbell, Clarence Fredrick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 4 26, 1901
10. AGE in Years69 Months1 Days8 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 14. Total years
15. If married name of spouse Ethel Viola Graham
16. NAME of Father Frederick C Campbell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nellie Bell Brady
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Clarence Campbell
address RR#5, New Glasgow
Relationship to deceased Wife
21. Place of burial Valley View, East River St Mary's
Date of burial June 6 1970
22. Undertaker Angus, New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 3, 1970
CAUSE OF DEATH
(a) Hemothorax
(b) fractured ribs
(c)
other Accident - pinned under tractor
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