Male Death Registration: Year: 1971 number: 1955
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001955
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Horne, Clarence Leo
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 26, 1914
10. AGE in Years56 Months11 Days22 | hrs or mins
11. Trade or profession
12. Kind of industry Furness Whithy
13. Date last worked 14. Total years 20
15. If married name of spouse
16. NAME of Father George Horne
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lauretta Young
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Earl Horne
address Sambro
Relationship to deceased Brother
21. Place of burial East Pennant Cemetery
Date of burial 26 February 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 23, 1971
CAUSE OF DEATH
(a) Myocardial infarction
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494033
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