Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harry Charles Clarke death at Springhill, Cumberland County on February 8, 1971
Male Death Registration: Year: 1971 number: 1610
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001610
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution All Saints Springhill Hospital
3. PRINT NAME OF DECEASED Clarke, Harry Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Great Village
9. DATE OF BIRTH 6 22, 1892
10. AGE in Years78 Months7 Days17 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mining
13. Date last worked May 1958 14. Total years 47
15. If married name of spouse Daisy Belle Clarke
16. NAME of Father John P Clarke
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Harold Robert Clarke
address West Amherst, Nova Scotia
Relationship to deceased Son
21. Place of burial Springhill
Date of burial Feb 12, 1971
22. Undertaker A.H.Brown Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 8, 1971
CAUSE OF DEATH
(a) Lung Cancer
(b)
(c)
other Sclerosis
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