Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Malcolm Clark death at Glace Bay, Cape Breton County on October 27, 1970
Male Death Registration: Year: 1970 number: 6946
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006946
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Clark, Malcolm
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 7 10, 1907
10. AGE in Years63 Months3 Days17 | hrs or mins
11. Trade or profession Retired Coal miner
12. Kind of industry Dominion Coal Co.
13. Date last worked 1963 14. Total years 30
15. If married name of spouse Lillian Clark
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Ethel M. Leonings
address 607 Borgoen City St. Mayport, Naval Sta., Jacksonville, Flor.
Relationship to deceased Daughter
21. Place of burial Greenwood Cemetery, Glace Bay
Date of burial October 30, 1970
22. Undertaker Patten's Funeral Home Ltd, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 27, 1970
CAUSE OF DEATH
(a) subarachnoid hemorrhage
(b)
(c)
other
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