Male Death Registration: Year: 1971 number: 2480
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002480
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V.G. Hospital, Halifax
3. PRINT NAME OF DECEASED Day, Clarence Elwin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Glenmore
9. DATE OF BIRTH 9 8, 1898
10. AGE in Years72 Months6 Days17 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 20 Mar 71 14. Total years Life
15. If married name of spouse Mrs. Elwin Day
16. NAME of Father Joseph Day
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Clara Hamilton
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Elwin Day
address Middle Musquodoboit
Relationship to deceased Wife
21. Place of burial Middle Musquodoboit, NS
Date of burial 27 Mar 71
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 25, 1971
CAUSE OF DEATH
(a) Hemorrhagic Pancreatitis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494557
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