Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roy Edward Clark death at Greenwood, Kings County on December 13, 1970
Male Death Registration: Year: 1970 number: 7477
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007477
1. PLACE OF DEATH County of Kings If in City or Town Greenwood
3. PRINT NAME OF DECEASED Clark, Roy Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Chilliwack, British Columbia
9. DATE OF BIRTH 1 20, 1920
10. AGE in Years50 Months10 Days23 | hrs or mins
11. Trade or profession Book Keeper
12. Kind of industry Retired Air Force
13. Date last worked 1970 14. Total years
15. If married name of spouse Margaret Clark
16. NAME of Father Roy A. Clark
17. BIRTHPLACE
18. NAME of Mother May Clark
19. BIRTHPLACE
20. Signature of Informant Arnold Jefferson
address Bridgetown
Relationship to deceased Brother-in-law
21. Place of burial Bridgetown
Date of burial December 16, 1970
22. Undertaker Bridgetown Funeral Home, Robert L. Hall
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 13, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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