Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Herriette Clarke death at Halifax, Halifax County on April 23, 1971
Female Death Registration: Year: 1971 number: 2983
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002983
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Keddy's Nursing Manor
3. PRINT NAME OF DECEASED Clarke, Herriette
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Goldboro, Guys. County
9. DATE OF BIRTH 7 28, 1884
10. AGE in Years86 Months8 Days26 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry at home
13. Date last worked 1965 14. Total years 61 yrs
15. If married name of spouse Norman A. Clarke
16. NAME of Father Capt. T. Giffin
17. BIRTHPLACE NS
18. NAME of Mother Martha Linklock
19. BIRTHPLACE NS
20. Signature of Informant Theodore P Clarke
address 5815 North St, Halifax, NS
Relationship to deceased son
21. Place of burial Camp Hill, Hfx. NS
Date of burial April 26, 1971
22. Undertaker Halifax Funeral Home Ltd. Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 23, 1971
CAUSE OF DEATH
(a) Senility with dementia
(b)
(c)
other bedsores
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