Male Death Registration: Year: 1971 number: 4788
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004788
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution All Saints Hospital, Springhill, Cumberland Co., NS
3. PRINT NAME OF DECEASED Wood, Clayton William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 14, 1896
10. AGE in Years75 Months5 Days11 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 2 1/2 yrs 14. Total years
15. If married name of spouse
16. NAME of Father Bedford Wood
17. BIRTHPLACE Oxford, Nova Scotia
18. NAME of Mother Mary Hannon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gerald B. Wood
address 324 Dutch Village Rd, Halifax, NS
Relationship to deceased Son
21. Place of burial Pinegrove Cemetery, Oxford, NS
Date of burial 27 July 1971
22. Undertaker F. A. Black
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 25, 1971
CAUSE OF DEATH
(a) Carcinoma of Sigmoid Colon with Metastasis of Circle
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496863
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