Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clark Russell Long death at Pictou, Pictou County on May 16, 1971
Male Death Registration: Year: 1971 number: 3709
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003709
1. PLACE OF DEATH County of Pictou If in City or Town Pictou
If death occured in a hospital or institution Sutherland Harris Memorial Hospital
3. PRINT NAME OF DECEASED Long, Clark Russell
4. Sex
Male
5. Citizenship
American
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE United States
9. DATE OF BIRTH 7 13, 1897
10. AGE in Years73 Months10 Days3 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Accountant
13. Date last worked 1951 14. Total years 35 yrs
15. If married name of spouse Dorothy MacDonald
16. NAME of Father Clark S. Long
17. BIRTHPLACE United States
18. NAME of Mother Ida Baughman
19. BIRTHPLACE United States
20. Signature of Informant Mrs. Clark Long
address Coleraine Street, Pictou, NS
Relationship to deceased Wife
21. Place of burial Heatherdale, Alma, NS
Date of burial May 17, 1971
22. Undertaker McLaren Funeral Home, Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 16, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Carcinoma of Colon with Metastases
(c)
other
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