Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Peter Blin death at Digby, Digby County on July 4, 1971
Male Death Registration: Year: 1971 number: 4430
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004430
1. PLACE OF DEATH County of Digby If in City or Town Digby
If death occured in a hospital or institution Digby Hospital
3. PRINT NAME OF DECEASED Blin, Clarence Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Ohio, Digby County
9. DATE OF BIRTH 2 10, 1892
10. AGE in Years79 Months4 Days24 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Charles Blin
17. BIRTHPLACE NS
18. NAME of Mother Eleanor Burger
19. BIRTHPLACE NS
20. Signature of Informant Andre Blin
address Belliveau Cove, Digby Co., NS
Relationship to deceased Son
21. Place of burial St. Bernard, Digby Co., NS
Date of burial July 7, 1971
22. Undertaker Weymouth Funeral Home Ltd., Weymouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 4, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Arteriosclerotic Heart Disease
(c) Bronchial Asthma
other Gangrene of leg (illegible) addiction
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