Male Death Registration: Year: 1971 number: 7214
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007214
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital
3. PRINT NAME OF DECEASED Hubley, Clarke Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 18, 1998
10. AGE in Years73 Months5 Days23 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 1963 14. Total years
15. If married name of spouse Ella Hubley
16. NAME of Father Elyard Hubley
17. BIRTHPLACE NS
18. NAME of Mother Bessie Jollymore
19. BIRTHPLACE NS
20. Signature of Informant Earl V. Hubley
address Port Dufferin, Halifax Co., NS
Relationship to deceased Son
21. Place of burial Chester, NS
Date of burial 13 Dec 1971
22. Undertaker Davis Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 11, 1971
CAUSE OF DEATH
(a) Hepatic Coma
(b) Intestinal Cancer
(c) Metastasized to liver/lung
other arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499286
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