Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Siliker Simpson death at Halifax, Halifax County on January 24, 1971
Male Death Registration: Year: 1971 number: 1316
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001316
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hosp.
3. PRINT NAME OF DECEASED Simpson, Clarence Siliker
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 3 30, 1911
10. AGE in Years59 Months9 Days25 | hrs or mins
11. Trade or profession Watchman
12. Kind of industry Hfx. Waterfront
13. Date last worked Jan 9/71 14. Total years 15
15. If married name of spouse Margaret Simpson
16. NAME of Father Harry T. Simpson
17. BIRTHPLACE Nfld.
18. NAME of Mother Amy Ford
19. BIRTHPLACE Nfld.
20. Signature of Informant Mrs. Clarence S. Simpson
address 5276 Vestry St., Halifax
Relationship to deceased Wife
21. Place of burial Fairview Cemetery, Hfx.
Date of burial January 27, 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 24, 1971
CAUSE OF DEATH
(a) GIT Hemorrhage
(b) Duodenal ?ileitis
(c)
other
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