Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Herbert Clarke death at Dartmouth, Halifax County on April 16, 1971
Male Death Registration: Year: 1971 number: 3044
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003044
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution S.S. Labrador Boat
3. PRINT NAME OF DECEASED Clarke, John Herbert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Saskatchewan, Canada
9. DATE OF BIRTH 12 6, 1919
10. AGE in Years51 Months4 Days10 | hrs or mins
11. Trade or profession Engineer
12. Kind of industry Marine Division
13. Date last worked Apr 16/71 14. Total years
15. If married name of spouse Nora Lamond Clarke
16. NAME of Father Francis Clarke
17. BIRTHPLACE
18. NAME of Mother Susan Wier
19. BIRTHPLACE
20. Signature of Informant Donald Clarke
address 335 Beverley Crescent, West Riverview, Moncton, NB
Relationship to deceased son
21. Place of burial Riverview Cemetery, Marion Bridge, Cape Breton, NS
Date of burial April 20, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 16, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Coronary Thrombosis
(c)
other
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