Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ira Douglas Clark death at Halifax, Halifax County on September 24, 1971
Male Death Registration: Year: 1971 number: 5695
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005695
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution died on street
3. PRINT NAME OF DECEASED Clark, Ira Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 11, 1928
10. AGE in Years43 Months2 Days13 | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry Lumber Co.
13. Date last worked 23 September 1971 14. Total years 4 years
15. If married name of spouse Jean Conrod
16. NAME of Father Sheldon Clark
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Reta Swinnamer
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Jean Clark
address 5659 Stairs Street, Halifax, NS
Relationship to deceased Wife
21. Place of burial Gate of Heaven Cemetery, Lower Sackville, NS
Date of burial 27 September 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 24, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Coronary Thrombosis 2 years prior
(c)
other
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