Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Phillip Goguen death at Halifax, Halifax County on August 15, 1971
Male Death Registration: Year: 1971 number: 4990
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004990
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Goguen, Clarence Phillip
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 6 8, 1910
10. AGE in Years61 Months2 Days7 | hrs or mins
11. Trade or profession Mechanical Inspector
12. Kind of industry Imperial Oil
13. Date last worked July/71 14. Total years 30 yrs
15. If married name of spouse Laura Clary
16. NAME of Father Angus Goguen
17. BIRTHPLACE New Brunswick
18. NAME of Mother Alvina Gallant
19. BIRTHPLACE New Brunswick
20. Signature of Informant John P. Goguen
address 6535 Young St., Halifax, NS
Relationship to deceased Son
21. Place of burial Gate of Heaven, Lr. Sackville, NS
Date of burial Aug 18, 1971
22. Undertaker Lindsay's, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 15, 1971
CAUSE OF DEATH
(a) Carcinoma - Head of Pancreas with Metastases
(b) Jaundice
(c)
other
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