Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Walter Hayes death at Yarmouth, Yarmouth County on February 12, 1971
Male Death Registration: Year: 1971 number: 1808
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001808
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Hayes, Clarence Walter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Maitland, Hants Co
9. DATE OF BIRTH 7 6, 1921
10. AGE in Years50 Months7 Days6 | hrs or mins
11. Trade or profession school
12. Kind of industry teacher
13. Date last worked 14. Total years
15. If married name of spouse Doris Hayes
16. NAME of Father George Hayes
17. BIRTHPLACE Hant's Co, NS
18. NAME of Mother Frances Tucker
19. BIRTHPLACE Maitland, Hant's Co, NS
20. Signature of Informant M Doris Hayes
address 686 Main St Yarmouth
Relationship to deceased wife
21. Place of burial Chebogue Yar Co
Date of burial Feb 15, 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 12, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Hypertension
(c)
other
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