Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alice Maude Clarke death at Halifax, Halifax County on December 5, 1970
Female Death Registration: Year: 1970 number: 7046
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007046
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Clarke, Alice Maude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 4 28, 1893
10. AGE in Years77 Months7 Days7 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Stephen Clarke
16. NAME of Father Jerimah King
17. BIRTHPLACE Newfoundland
18. NAME of Mother Elizabeth King
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. James Galpin
address 93 Herring Cove Road, Halifax
Relationship to deceased Daughter
21. Place of burial St. John's, Newfoundland
Date of burial Dec. 8, 1970
22. Undertaker R.D. Lindsay, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 5, 1970
CAUSE OF DEATH
(a) Pulmonary Embolus
(b) Chronic Heart Failure
(c)
other
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