Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Young Peers death at Tatamagouche, Colchester County on July 29, 1971
Male Death Registration: Year: 1971 number: 4930
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004930
1. PLACE OF DEATH County of Colchester If in City or Town Tatamagouche
If death occured in a hospital or institution Lillian Fraser Memorial Hospital
3. PRINT NAME OF DECEASED Peers, Clarence Young
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish & Irish
7. Single, Married
single
8. BIRTHPLACE Wallace River, Cumb. County
9. DATE OF BIRTH 4 27, 1905
10. AGE in Years66 Months3 Days2 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1968 14. Total years 44
15. If married name of spouse
16. NAME of Father Robert Peers
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Ellen O'Brien
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Verna Teed
address East Wallace, Nova Scotia
Relationship to deceased Sister
21. Place of burial Wallace River, NS
Date of burial July 31, 1971
22. Undertaker W I Mundle, Pugwash, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 29, 1971
CAUSE OF DEATH
(a) Carcinoma Pancreas
(b)
(c)
other
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