Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elsie Reta Elizabeth Clark death at Pugwash, Cumberland County on July 21, 1971
Female Death Registration: Year: 1971 number: 4783
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004783
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution Sunset Nursing Home
3. PRINT NAME OF DECEASED Clark, Elsie Reta Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nappan, Cumberland County,
9. DATE OF BIRTH 4 13, 1897
10. AGE in Years74 Months3 Days8 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 1940 14. Total years 25
15. If married name of spouse Albert Clark
16. NAME of Father James Rutlege
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Burns
19. BIRTHPLACE England
20. Signature of Informant Miss. Bessie Clark
address 156 Victoria St., Amherst
Relationship to deceased Daughter
21. Place of burial Highland Cemetery, Amherst, NS
Date of burial 23 July 1971
22. Undertaker Campbell's Funeral Home, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 21, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other Paranoid Schizophrenia
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