Male Death Registration: Year: 1971 number: 3492
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003492
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital, Antigonish
3. PRINT NAME OF DECEASED Clyke, William A.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Guysborough
9. DATE OF BIRTH 7 15, 1893
10. AGE in Years77 Months10 Days9 | hrs or mins
11. Trade or profession Pensioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Clara Clyke
16. NAME of Father Charlie Clyke
17. BIRTHPLACE Guysborough
18. NAME of Mother Martha Jane Pelly
19. BIRTHPLACE Guysborough
20. Signature of Informant Martha Jane Clyke
address PO Box 132, Guysboro
Relationship to deceased Daughter
21. Place of burial Evergreen, Guysborough, NS
Date of burial 27 May 1971
22. Undertaker Nathan Rhynold
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 24, 1971
CAUSE OF DEATH
(a) Pulmonary Embolus
(b) Arteriosclerosis
(c)
other Chronic Pyelonephritis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495568
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