Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Owen Baker death at Halifax, Halifax County on May 17, 1971
Male Death Registration: Year: 1971 number: 3819
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003819
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Baker, Clarence Owen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 26, 1884
10. AGE in Years86 Months9 Days21 | hrs or mins
11. Trade or profession Mounted Police
12. Kind of industry Government
13. Date last worked 1938 14. Total years 35
15. If married name of spouse
16. NAME of Father Hezikah Baker
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Cecilia
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Rex Hopkins
address 16 Hillsboro St. Sunset Acres, Dart. NS
Relationship to deceased Daughter
21. Place of burial East Jeddore, NS
Date of burial May , 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 17, 1971
CAUSE OF DEATH
(a) Carcinoma of face
(b)
(c)
other
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