Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Mary Ellen Clear death at Yarmouth, Yarmouth County on February 17, 1971

Female Death Registration: Year: 1971 number: 1810

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001810

1. PLACE OF DEATH   County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional HospitalRegional Hospital

3. PRINT NAME OF DECEASED Clear, Mary Ellen

4. Sex

Female

5. Citizenship

American

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE United States

9. DATE OF BIRTH 11  26, 1886

10. AGE in  Years84  Months2  Days22 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse John A. Clear

16. NAME of Father William Doucet

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Aimee Theriault

19. BIRTHPLACE Nova Scotia

20. Signature of Informant John A. Clear

      address R.R. #1 Yarmouth, Nova Scotia, Box 2440

      Relationship to deceased Husband

21. Place of burial Woodbridge, New Jersey, United States of America

      Date of burial February 22, 1971

22. Undertaker Meteghan Funeral Service Limited, Meteghan

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH February 17, 1971

CAUSE OF DEATH

(a) Arteriosclerotic Heart Disease

(b) Arteriosclerosis

(c)

other Cerebral Arteriosclerosis Diabetes Mellitus

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493888

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