Male Death Registration: Year: 1971 number: 2408
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002408
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution North Cumberland Memorial Hospital
3. PRINT NAME OF DECEASED King, Claude Rayworth
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Port Phillip, Cumb. County Nova Scotia
9. DATE OF BIRTH 8 19, 1901
10. AGE in Years69 Months6 Days17 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1960 14. Total years 42
15. If married name of spouse Mrs Jane King
16. NAME of Father George A. King
17. BIRTHPLACE Port Phillip, NS
18. NAME of Mother Lucy E. Wood
19. BIRTHPLACE Linden, NS
20. Signature of Informant Mrs. Jane King
address R R #2 Pugwash, Nova Scotia
Relationship to deceased Wife
21. Place of burial Springhill, NS
Date of burial March 11, 1971
22. Undertaker W.L. Mundle, Pugwash, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 8, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494485
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