Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Grover Cleveland death at Beaverbank, Halifax County on November 15, 1970
Male Death Registration: Year: 1970 number: 6847
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006847
1. PLACE OF DEATH County of Halifax If in City or Town Beaverbank
If death occured in a hospital or institution Scotia Nursing Homes Ltd.
3. PRINT NAME OF DECEASED Cleveland, Grover
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 9 19, 1885
10. AGE in Years85 Months1 Days25 | hrs or mins
11. Trade or profession Railway Conductor
12. Kind of industry Retired
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant A. VanSnick, R.N.
address Scotia Nursing Homes Ltd., Beaverbank
Relationship to deceased Charge Nurse Elysian Manor
21. Place of burial Oak Grove Cemetery, Kentville
Date of burial November 18, 1970
22. Undertaker H.C. Lindsay Funeral Home, Kentville,
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 15, 1970
CAUSE OF DEATH
(a) Influenza
(b) Senility
(c)
other
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