Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Edward James Clarke death at Kentville, Kings County on April 2, 1971
Male Death Registration: Year: 1971 number: 6373
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006373
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution N.S. Sanitorium
3. PRINT NAME OF DECEASED Clarke, Edward James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Caucasian
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 7, 1919
10. AGE in Years52 Months0 Days26 | hrs or mins
11. Trade or profession Invalid
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Chester Clarke
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Patriquin
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Thomas Clarke
address Londonderry, Col Co.
Relationship to deceased Sister
21. Place of burial Londonderry
Date of burial April 4, 1971
22. Undertaker McCulloch and Patriquin Funeral Home, Great Village, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 2, 1971
CAUSE OF DEATH
(a) Multiple lung abscesses of undermined etiology
(b) Possibly tuberculosis
(c)
other Huntington's chorea Schizophrenia
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