Male Death Registration: Year: 1971 number: 2238
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002238
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital, Glace Bay, Cape Breton
3. PRINT NAME OF DECEASED Knox, Clifford William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 20, 1906
10. AGE in Years64 Months10 Days3 | hrs or mins
11. Trade or profession Ret'd Coal Miner
12. Kind of industry Dominion Coal Co.
13. Date last worked 14. Total years
15. If married name of spouse Annie Knox
16. NAME of Father Alfred Knox
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jessie MacLean
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Alfred Knox
address 353b Main Street, Glace Bay
Relationship to deceased Son
21. Place of burial Ocean Ave., Dominion
Date of burial February 26, 1971
22. Undertaker Pattens Funeral Home Ltd., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 23, 1971
CAUSE OF DEATH
(a) Coronory thrombosis
(b) Coronary artery disease with Protein
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494315
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