Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Clarence Edward Howard Stoutley death at Truro, Colchester County on August 20, 1971

Male Death Registration: Year: 1971 number: 5349

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005349

1. PLACE OF DEATH   County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital

3. PRINT NAME OF DECEASED Stoutley, Clarence Edward Howard

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

African

7. Single, Married

widowed

8. BIRTHPLACE Truro

9. DATE OF BIRTH 10  22, 1898

10. AGE in  Years72  Months9  Days29 | hrs or mins

11. Trade or profession Machinist

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Edward Stoutley

17. BIRTHPLACE NS

18. NAME of Mother Rachel Baachus

19. BIRTHPLACE NS

20. Signature of Informant James Willis

      address 264 Young St., Truro

      Relationship to deceased Nephew

21. Place of burial Terrace Hill Cemetery, Truro , NS

      Date of burial August 23, 1971

22. Undertaker P.B. Kennedy, Truro, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 20, 1971

CAUSE OF DEATH

(a) Rheumatic Heart Disease

(b) Associated with auricular fibrillation and Congestive Heart Failure

(c)

other

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