Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lena Beatrice Clarke death at Middleton, Annapolis County on May 18, 1971
Female Death Registration: Year: 1971 number: 3850
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003850
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldier's Memorial Hospital
3. PRINT NAME OF DECEASED Clarke, Lena Beatrice
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Victoria Beach
9. DATE OF BIRTH 7 19, 1891
10. AGE in Years79 Months9 Days29 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Taylor
17. BIRTHPLACE NS
18. NAME of Mother Laney Everett
19. BIRTHPLACE NS
20. Signature of Informant H. Ward Clarke
address Bridgetown, NS
Relationship to deceased Son
21. Place of burial Bridgetown, NS
Date of burial 21 May 1971
22. Undertaker Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 18, 1971
CAUSE OF DEATH
(a) Coronary Infarction
(b) Arteriosclerotic Heart Disease
(c) Saddle Embolism
other Aorta Bifurcation Diabetes
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