Male Death Registration: Year: 1971 number: 4507
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004507
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Stewarts Nursing Home
3. PRINT NAME OF DECEASED Outhouse, Clarence Aubrey
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Tiverton
9. DATE OF BIRTH 9 13, 1887
10. AGE in Years83 Months10 Days5 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Outhouse
17. BIRTHPLACE NS
18. NAME of Mother Jerusha Denton
19. BIRTHPLACE NS
20. Signature of Informant Stella Outhouse
address Tiverton, Digby Co. NS
Relationship to deceased Sister
21. Place of burial Tiverton, NS
Date of burial July 20, 1971
22. Undertaker Jayne's Funeral Home Ltd., Digby, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 18, 1971
CAUSE OF DEATH
(a) Uraemia
(b) Arteriosclerotic Kidneys
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496582
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