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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