Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clara Jessie Antle death at Halifax, Halifax County on April 9, 1971
Female Death Registration: Year: 1971 number: 2694
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002694
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Antle, Clara Jessie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Beaver Bank
9. DATE OF BIRTH 2 23, 1916
10. AGE in Years55 Months1 Days16 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse James J. Antle
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Laura Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James J. Antle
address Beaver Bank, Halifax Co. NS
Relationship to deceased Husband
21. Place of burial Gate of Heaven, Lr Sackville
Date of burial April 11, 1971
22. Undertaker Lindsay's Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 9, 1971
CAUSE OF DEATH
(a) Anoxic brain damage
(b) Cardiac arrest
(c) Acute Myocardial Infarction
other
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