Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lillian Clarke death at Glace Bay, Cape Breton County on December 14, 1970
Female Death Registration: Year: 1970 number: 7292
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007292
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 Clarke, Lillian
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 9 1, 1915
10. AGE in Years55 Months3 Days13 | hrs or mins
11. Trade or profession Widowed
12. Kind of industry At home
13. Date last worked 14. Total years
15. If married name of spouse Malcolm Clarke
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant George Clarke
address 5½ Murphy St. Glace Bay
Relationship to deceased Son
21. Place of burial Greenwood Cemetery, Glace Bay
Date of burial December 16, 1970
22. Undertaker Patten's Funeral Home Ltd. Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 14, 1970
CAUSE OF DEATH
(a) Acute Coronary Thrombosis
(b)
(c)
other
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