Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Murray Rapp death at Halifax, Halifax County on July 8, 1971
Male Death Registration: Year: 1971 number: 4596
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004596
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Rapp, Clarence Murray
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 18, 1907
10. AGE in Years63 Months10 Days29 | hrs or mins
11. Trade or profession Mail Driver
12. Kind of industry
13. Date last worked June 15/71 14. Total years 1 yr
15. If married name of spouse Sussana
16. NAME of Father Elias Rapp
17. BIRTHPLACE NS
18. NAME of Mother Flora Perry
19. BIRTHPLACE NS
20. Signature of Informant Marshall Rapp
address Ingomar, Shel. Co., NS
Relationship to deceased Son
21. Place of burial Ingomar, NS
Date of burial July 11, 1971
22. Undertaker C A Kenney Barrington, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 8, 1971
CAUSE OF DEATH
(a) Portal Vein Thrombosis
(b) Polycythemia Rubra Vera
(c) Endotoxic Shock, Gangrene of Small Bowel
other
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