Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Albert Berton Clayton death at Bridgetown, Annapolis County on August 23, 1971
Male Death Registration: Year: 1971 number: 5096
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005096
1. PLACE OF DEATH County of Annapolis If in City or Town Bridgetown
If death occured in a hospital or institution Mountain Lea Lodge
3. PRINT NAME OF DECEASED Clayton, Albert Berton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Youngs Cove, Anna. County Nova Scotia
9. DATE OF BIRTH 11 28, 1887
10. AGE in Years83 Months8 Days26 | hrs or mins
11. Trade or profession
12. Kind of industry Laborer
13. Date last worked 1955 14. Total years
15. If married name of spouse
16. NAME of Father William Clayton
17. BIRTHPLACE NS
18. NAME of Mother Rebecca
19. BIRTHPLACE NS
20. Signature of Informant Seeley Clayton
address Granville Centre, Anna. Co. NS
Relationship to deceased son
21. Place of burial Grandville Centre, Annapolis
Date of burial August 25, 1971
22. Undertaker Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 23, 1971
CAUSE OF DEATH
(a) Septicemia
(b) Scrotectomy
(c)
other Rheumatoid Arthritis Arteriosclerotic Cardiovascular Disease
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