Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Arthur Richard Carloss death at Dartmouth, Halifax County on June 27, 1971
Male Death Registration: Year: 1971 number: 4076
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004076
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
3. PRINT NAME OF DECEASED Carloss, Arthur Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE St. John, New Brunswick
9. DATE OF BIRTH 2 3, 1907
10. AGE in Years67 Months4 Days24 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Income Tax Department
13. Date last worked July '70 14. Total years 20 years
15. If married name of spouse Mrs. Thelma Maud Carloss
16. NAME of Father Richard Carloss
17. BIRTHPLACE England
18. NAME of Mother Ella Almon
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mr. Eric Carloss
address 42 Newcastle St, Dartmouth
Relationship to deceased Son
21. Place of burial St. John, New Brunswick
Date of burial June 30, 1971
22. Undertaker A. L. Mattatall Funeral Services Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 27, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Coronary Artery Disease
(c)
other
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