Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
June Marie Clark death at Halifax, Halifax County on September 3, 1971
Female Death Registration: Year: 1971 number: 5315
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005315
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V.G. Hospital
3. PRINT NAME OF DECEASED Clark, June Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE East Gore, Hants Co,. Nova Scotia
9. DATE OF BIRTH 5 18, 1922
10. AGE in Years49 Months3 Days16 | hrs or mins
11. Trade or profession House duties
12. Kind of industry
13. Date last worked 30 Aug '71 14. Total years Life
15. If married name of spouse Cecil Clark
16. NAME of Father Walter Murphy
17. BIRTHPLACE NS
18. NAME of Mother Nancy Taylor
19. BIRTHPLACE NS
20. Signature of Informant Cecil Clark
address Nine Mile River, NS
Relationship to deceased husband
21. Place of burial Nine Mile River, NS
Date of burial 6 Sept '71
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 3, 1971
CAUSE OF DEATH
(a) Aspiration Pneumonia
(b)
(c)
other Adrenal hemmorhage
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Note: Sections 24.I(b) and II - unable to make out handwriting