Male Death Registration: Year: 1971 number: 5358
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005358
1. PLACE OF DEATH County of Cumberland If in City or Town Maccan
If death occured in a hospital or institution Welch's Rest Home
3. PRINT NAME OF DECEASED Corbett, Clinton Silas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Amherst Point
9. DATE OF BIRTH 6 11, 1890
10. AGE in Years81 Months2 Days14 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked April 1971 14. Total years 70 yrs
15. If married name of spouse
16. NAME of Father Thomas Silas Corbett
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lydia Forest
19. BIRTHPLACE Amherst Point, NS
20. Signature of Informant Wiley Coates
address Amherst, NS
Relationship to deceased Cousin
21. Place of burial Amherst, NS
Date of burial Aug 27, 1971
22. Undertaker Campbell's Funeral Home, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 25, 1971
CAUSE OF DEATH
(a) Advanced Arteriosclerosis
(b) Senility
(c) Complete Blindness
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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