Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Clulow death at Halifax, Halifax County on April 9, 1971
Male Death Registration: Year: 1971 number: 2691
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002691
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Clulow, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 31, 1882
10. AGE in Years88 Months3 Days9 | hrs or mins
11. Trade or profession shoe maker
12. Kind of industry Military
13. Date last worked 14. Total years
15. If married name of spouse Bertha Jane Clulow
16. NAME of Father Joseph Clulow
17. BIRTHPLACE
18. NAME of Mother Ada Butler
19. BIRTHPLACE
20. Signature of Informant Mrs. Bertha Clulow
address 2 Dunn St, Springhill, NS
Relationship to deceased Wife
21. Place of burial Springhill, NS
Date of burial April 12, 1971
22. Undertaker A.H. Brown Funeral Service Ltd. Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 9, 1971
CAUSE OF DEATH
(a) Broncho pneumonia
(b) Colitis
(c)
other
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