Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas F Clish death at New Glasgow, Pictou County on May 1, 1971
Male Death Registration: Year: 1971 number: 3527
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003527
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Clish, Douglas F
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH , 1904
10. AGE in Years67 Months Days | hrs or mins
11. Trade or profession Painter
12. Kind of industry Signs
13. Date last worked Oct 1970 14. Total years
15. If married name of spouse
16. NAME of Father William Clish
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Agnes Morton
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Angus Clish
address RR#2 Trenton
Relationship to deceased Brother
21. Place of burial Hillside Cemetery, Trenton, NS
Date of burial May 4,1971
22. Undertaker Ross Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 1, 1971
CAUSE OF DEATH
(a) Dehydration
(b) Carcinoma Face
(c)
other
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