Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Clarke death at Baddeck, Victoria County on September 2, 1971
Male Death Registration: Year: 1971 number: 5418
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005418
1. PLACE OF DEATH County of Victoria If in City or Town Baddeck
If death occured in a hospital or institution Victoria County Memorial Hospital
3. PRINT NAME OF DECEASED Clarke, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scotish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 10, 1885
10. AGE in Years86 Months5 Days22 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Labouring
13. Date last worked 1946 14. Total years 40
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Annie Clarke
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. James Squires
address Big Bras d'Or
Relationship to deceased Cousin
21. Place of burial New Campbellton
Date of burial Sept 3, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd. Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 2, 1971
CAUSE OF DEATH
(a) Chronic Renal failure
(b) Congestive Heart Failure
(c)
other
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