Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Hugh Elmer Clarke death at Pugwash, Cumberland County on March 22, 1971

Male Death Registration: Year: 1971 number: 2413

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 002413

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 Clarke, Hugh Elmer

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 2  22, 1886

10. AGE in  Years85  Months1  Days | hrs or mins

11. Trade or profession Farmer

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse Mary C.

16. NAME of Father Elmer  Randall

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Emma Margaret Edwards

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Jewell C. Coulter

      address Malagash, NS

      Relationship to deceased Daughter

21. Place of burial Pugwash, NS

      Date of burial March 24, 1971

22. Undertaker W.L. Mundle, Pugwash, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH March 22, 1971

CAUSE OF DEATH

(a) Bronchial pneumonia

(b) Emphysema

(c) Chronic Bronchitis

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494490

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