Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clark Wallace death at New Glasgow, Pictou County on November 19, 1970
Male Death Registration: Year: 1970 number: 7346
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007346
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Wallace, Clark
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 11 22, 1904
10. AGE in Years65 Months11 Days28 | hrs or mins
11. Trade or profession Electrician
12. Kind of industry Eastern Car Ltd
13. Date last worked 14. Total years
15. If married name of spouse Irene Wilson
16. NAME of Father George Wallace
17. BIRTHPLACE Canada
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Doreen Clark
address 47 Highland Dr, New Glasgow
Relationship to deceased Daughter
21. Place of burial Auburn Cemetery, Westville
Date of burial 22 Nov 1970
22. Undertaker Eagles Funeral Home, Westville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 19, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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