Male Death Registration: Year: 1970 number: 6877
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006877
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fishermen's Memorial Hospital
3. PRINT NAME OF DECEASED Allen, Clarence William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Blue Rocks
9. DATE OF BIRTH 2 18, 1882
10. AGE in Years88 Months9 Days | hrs or mins
11. Trade or profession Retired Fisherman
12. Kind of industry Fishing
13. Date last worked 1955 14. Total years Lifetime
15. If married name of spouse Letitia Allen
16. NAME of Father Ambrose Allen
17. BIRTHPLACE Blue Rocks
18. NAME of Mother Ellen Miller
19. BIRTHPLACE Blue Rocks
20. Signature of Informant Morton Allen
address 170 Fox Street, Lunenburg
Relationship to deceased Son
21. Place of burial Hillcrest Cemetery, Lunenburg
Date of burial Nov. 20, 1970
22. Undertaker Dana L. Sweeny Funeral Home Ltd., Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 18, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Congestive heart failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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