Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Franklyn Horace Clyburn death at New Glasgow, Pictou County on October 1, 1971

Male Death Registration: Year: 1971 number: 6140

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006140

1. PLACE OF DEATH   County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Glen Haven Manor

3. PRINT NAME OF DECEASED Clyburn, Franklyn Horace

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 2  2, 1885

10. AGE in  Years86  Months7  Days29 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Labourer

13. Date last worked 1950       14. Total years

15. If married name of spouse Elsie Clyburn

16. NAME of Father John Henry Clyburn

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Annie Johnson

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Keith Langille

      address Pleasant St. New Glasgow

      Relationship to deceased Son-in-Law

21. Place of burial Lorne St. Cemetery New Glasgow

      Date of burial October 3, 1971

22. Undertaker H.W. Angus, New Glasgow

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 1, 1971

CAUSE OF DEATH

(a) Myocardial Infarction

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498213

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