Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clifford Smith Green death at Middleton, Annapolis County on October 27, 1971
Male Death Registration: Year: 1971 number: 6452
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006452
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Green, Clifford Smith
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Port Lorne
9. DATE OF BIRTH 8 13, 1910
10. AGE in Years61 Months2 Days17 | hrs or mins
11. Trade or profession
12. Kind of industry Labourer
13. Date last worked 1970 14. Total years
15. If married name of spouse Mrs. Nina Green
16. NAME of Father William Green
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lemora Sabean
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Nina Green
address Lawrencetown
Relationship to deceased Wife
21. Place of burial Port Lorne
Date of burial October 31, 1971
22. Undertaker Robert L. Hall Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 27, 1971
CAUSE OF DEATH
(a) Coronary Infarction
(b) Heart Disease
(c)
other Obesity
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