Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clyde Chesley Beals death at Lawrencetown, Annapolis County on January 29, 1971
Male Death Registration: Year: 1971 number: 1437
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001437
1. PLACE OF DEATH County of Annapolis If in City or Town Lawrencetown
If death occured in a hospital or institution Main Street
3. PRINT NAME OF DECEASED Beals, Clyde Chesley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 31, 1915
10. AGE in Years55 Months8 Days14 | hrs or mins
11. Trade or profession Finish Carpenter
12. Kind of industry
13. Date last worked Jan.29/71 14. Total years Life
15. If married name of spouse
16. NAME of Father Lewis Beals
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Evelyn Beals
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gordon Beals
address Lawrencetown, Annapolis Co.
Relationship to deceased Brother
21. Place of burial Lawrencetown, Anna. Co.
Date of burial February 1, 1971
22. Undertaker Warren T. Roop Ltd., Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 29, 1971
CAUSE OF DEATH
(a) Coronary Infarction
(b) Hypertensive Cardiovascular Disease
(c)
other
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