Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Clayton Lewis Guy death at North Sydney, Cape Breton County on May 3, 1971

Male Death Registration: Year: 1971 number: 4127

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004127

1. PLACE OF DEATH   County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital, North Sydney, NS

3. PRINT NAME OF DECEASED Guy, Clayton Lewis

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Newfoundland

9. DATE OF BIRTH 10  15, 1906

10. AGE in  Years64  Months6  Days18 | hrs or mins

11. Trade or profession Sea Captain

12. Kind of industry Shipping

13. Date last worked 1965       14. Total years 33

15. If married name of spouse Eileen Mary Cook

16. NAME of Father Capt. James Guy

17. BIRTHPLACE Burgeo, Nfld

18. NAME of Mother Florence Anderson

19. BIRTHPLACE Newfoundland

20. Signature of Informant Calvin Guy

      address 77 Regent St., North Sydney, NS

      Relationship to deceased Son

21. Place of burial Lakeside Cemetery, North Sydney, NS

      Date of burial May 6,1971

22. Undertaker Fillmore & Whitman Funeral Home Ltd. North Sydney, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH May 3, 1971

CAUSE OF DEATH

(a) Acute Uraemia Cardiovascular Disease

(b) Acute Nephritis

(c) Complete Suppression

other Diabetes Mellitus

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