Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Samuel Gray death at Halifax, Halifax County on December 24, 1970
Male Death Registration: Year: 1970 number: 7392
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007392
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Gray, Clarence Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sambro
9. DATE OF BIRTH 10 14, 1895
10. AGE in Years75 Months2 Days10 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Church sexton
13. Date last worked January 1, 1970 14. Total years 20
15. If married name of spouse Cora Gray
16. NAME of Father Albert Gray
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mimmie Hiltz
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James Lynch
address 3585 Claremont Halifax
Relationship to deceased Son-in-law
21. Place of burial Hillcrest Memorial Gardens, Lower Sackville
Date of burial December 28, 1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 24, 1970
CAUSE OF DEATH
(a) Acute Myocardial infarction
(b)
(c)
other
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