Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Clarence Leslie Swaine death at Antigonish, Antigonish County on November 23, 1971

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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