Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Walter Stewart death at Halifax, Halifax County on January 26, 1971
Male Death Registration: Year: 1971 number: 1410
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001410
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution VGH
3. PRINT NAME OF DECEASED Stewart, Clarence Walter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 14, 1947
10. AGE in Years23 Months5 Days12 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Daniel Stewart
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Connors
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Halifax Mental Hospital Records
address
Relationship to deceased
21. Place of burial Fairview Hfx.
Date of burial January 29, 1971
22. Undertaker Snow & Co. Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 26, 1971
CAUSE OF DEATH
(a) Broncho-pneumonia
(b) Anoxia
(c) attempted suicide
other Insanity
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