Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clinton George Hannam death at West Dalhousie, Annapolis County on August 25, 1971
Male Death Registration: Year: 1971 number: 5098
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005098
1. PLACE OF DEATH County of Annapolis If in City or Town West Dalhousie
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Hannam, Clinton George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
8. BIRTHPLACE Middleton, Annapolis County
9. DATE OF BIRTH 7 31, 1971
10. AGE in Years Months Days25 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Whitman Hannam
17. BIRTHPLACE NS
18. NAME of Mother Catherine Virginia Wamboldt
19. BIRTHPLACE NS
20. Signature of Informant George W. Hannam
address West Dalhousie, Anna. Co., NS
Relationship to deceased Father
21. Place of burial West Dalhousie
Date of burial August 27, 1971
22. Undertaker Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 25, 1971
CAUSE OF DEATH
(a) Suffocation (asphyxia) from down in feather pillow
(b)
(c)
other Accident: died in sleep
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