Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clara Gardiner death at New Glasgow, Pictou County on July 5, 1971
Female Death Registration: Year: 1971 number: 4577
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004577
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Highway
3. PRINT NAME OF DECEASED Gardiner, Clara
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 13, 1894
10. AGE in Years77 Months Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Neil McSween
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Amelia White
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Audrey Cameron
address New Glasgow, NS
Relationship to deceased Daughter
21. Place of burial St. Mary's, Sydney Mines, NS
Date of burial July 9, 1971
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 5, 1971
CAUSE OF DEATH
(a) Myocardial Rupture Chest Injuries
(b) Massive hemorrhage due to accident
(c) Fracture of ribs with Flail Chest
other Accident: 2-car head on collision
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