Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence R Johnson death at Halifax, Halifax County on January 2, 1971
Male Death Registration: Year: 1971 number: 1014
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001014
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 37 St. Margaret's Bay Road, Halifax (Armdale)
3. PRINT NAME OF DECEASED Johnson, Clarence R
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Plymouth
9. DATE OF BIRTH 9 16, 1915
10. AGE in Years55 Months3 Days17 | hrs or mins
11. Trade or profession Caretaker
12. Kind of industry Holy Cross Cemetery
13. Date last worked Dec. 31/70 14. Total years 9
15. If married name of spouse Late Myrtle Johnson
16. NAME of Father n/k n/k
17. BIRTHPLACE n/k
18. NAME of Mother n/k n/k
19. BIRTHPLACE n/k
20. Signature of Informant Mrs. Lillian Hagan
address 37 St. Margaret's Bay Rd., HFX.
Relationship to deceased
21. Place of burial Fairview Cemetery, HFX
Date of burial January 5, 1971
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 2, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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