Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clara May Vaughan death at Berwick, Kings County on June 19, 1971
Female Death Registration: Year: 1971 number: 4284
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004284
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Spicers Nursing Home
3. PRINT NAME OF DECEASED Vaughan, Clara May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Greenfield
9. DATE OF BIRTH 7 31, 1878
10. AGE in Years92 Months10 Days18 | hrs or mins
11. Trade or profession Dressmaker
12. Kind of industry Clothing
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph Anthony Vaughan
17. BIRTHPLACE Greenfield, NS
18. NAME of Mother Lucy Ann Croft
19. BIRTHPLACE Greenfield, NS
20. Signature of Informant Mr. Dimock Vaughan
address Wolfville, NS
Relationship to deceased Nephew
21. Place of burial Willowbank, Wolfville
Date of burial June 22, 1971
22. Undertaker H. C. Lindsay Funeral Homes Ltd., Wolfville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 19, 1971
CAUSE OF DEATH
(a) Pneumonia
(b)
(c)
other Pyelonephritis
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