Male Death Registration: Year: 1971 number: 6720
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006720
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Swaine, Clarence Leslie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
divorced
8. BIRTHPLACE Canso
9. DATE OF BIRTH 4 23, 1915
10. AGE in Years56 Months7 Days | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry carpenter work
13. Date last worked August 1971 14. Total years
15. If married name of spouse
16. NAME of Father Walter Lewis Swaine
17. BIRTHPLACE Canso
18. NAME of Mother Mary K. Spears
19. BIRTHPLACE Canso
20. Signature of Informant Gordon Swaine
address Canso
Relationship to deceased Son
21. Place of burial Canso
Date of burial November 26, 1971
22. Undertaker Nathan Rhynold
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1971
CAUSE OF DEATH
(a) Dissecting aneurysm of aorta
(b) Hypertensive Cardiovascular Disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498793
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