Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Milton Fraser death at New Glasgow, Pictou County on October 3, 1971
Male Death Registration: Year: 1971 number: 6043
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006043
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
3. PRINT NAME OF DECEASED Fraser, Clarence Milton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Westville
9. DATE OF BIRTH 7 31, 1909
10. AGE in Years62 Months2 Days3 | hrs or mins
11. Trade or profession Radio Repairman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Isabel Conway
16. NAME of Father Benjamin Fraser
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Sutherland
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Clarence Fraser
address 503 High St., New Glasgow, NS
Relationship to deceased Wife
21. Place of burial Heatherdale Memorial Gardens, Alma, NS
Date of burial October 5, 1971
22. Undertaker R.H. Porter Funeral Homes Ltd, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 3, 1971
CAUSE OF DEATH
(a) Terminal Pneumonia
(b) Chronic Obstructive Lung Disease
(c)
other Old T B c?
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