Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mark St. Clair Fleck death at Middle Musquodoboit, Halifax County on September 4, 1971
Male Death Registration: Year: 1971 number: 5376
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005376
1. PLACE OF DEATH County of Halifax If in City or Town Middle Musquodoboit
If death occured in a hospital or institution Musquodoboit Valley Memorial Hospital
3. PRINT NAME OF DECEASED Fleck, Mark St. Clair
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 10, 1969
10. AGE in Years1 Months11 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 Francis Fleck
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Barbara Tree
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Francis Fleck
address Upper Stewiacke, N.S
Relationship to deceased Father
21. Place of burial Upper Stewiacke, NS
Date of burial Sept. 7, 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 4, 1971
CAUSE OF DEATH
(a) Congenital Aortic Stenosis
(b)
(c)
other
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