Male Death Registration: Year: 1971 number: 1357
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001357
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution 9 Sproul
3. PRINT NAME OF DECEASED Melanson, Clarence Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Quebec
9. DATE OF BIRTH 3 17, 1902
10. AGE in Years68 Months10 Days5 | hrs or mins
11. Trade or profession miner
12. Kind of industry coal mining
13. Date last worked 1961 14. Total years 46
15. If married name of spouse Jessie Munroe (Anderson) Melanson
16. NAME of Father Peter Melanson
17. BIRTHPLACE Quebec
18. NAME of Mother Mary King
19. BIRTHPLACE Quebec
20. Signature of Informant Kenneth Melanson
address 68 Cowan St., Springhill
Relationship to deceased son
21. Place of burial Springhill
Date of burial January 25, 1971
22. Undertaker A.H. Brown Funeral Service Ltd., Springhill
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 22, 1971
CAUSE OF DEATH
(a) coronary thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493435
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