Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clifton Russell Bailey death at Mersey Point, Queens County on October 8, 1971
Male Death Registration: Year: 1971 number: 6053
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006053
1. PLACE OF DEATH County of Queens If in City or Town Mersey Point
If death occured in a hospital or institution Acute Myocardial Infarction
3. PRINT NAME OF DECEASED Bailey, Clifton Russell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Windsor Mills, Quebec
9. DATE OF BIRTH 11 9, 1902
10. AGE in Years68 Months10 Days29 | hrs or mins
11. Trade or profession Retired Paper Inspector
12. Kind of industry Bowater Mersey Paper Co.
13. Date last worked 1967 14. Total years 40 years
15. If married name of spouse Alice Sophia Bailey
16. NAME of Father Charles L. Bailey
17. BIRTHPLACE Quebec
18. NAME of Mother Anna Craig
19. BIRTHPLACE Quebec
20. Signature of Informant Mrs. Alice Bailey
address Mersey Point, RR #1, Liverpool, Queens Co., NS
Relationship to deceased Wife
21. Place of burial Liverpool, Queens Co., NS
Date of burial 11 October 1971
22. Undertaker Chandlers' Funeral Service Ltd., Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 8, 1971
CAUSE OF DEATH
(a) Coronary Artery Disease
(b)
(c)
other
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