Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clifford Coleman Kendrick death at Sandy Point, Shelburne County on December 6, 1971
Male Death Registration: Year: 1971 number: 7603
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007603
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital, Shelburne
3. PRINT NAME OF DECEASED Kendrick, Clifford Coleman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 16, 1879
10. AGE in Years92 Months1 Days20 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1956 14. Total years 59
15. If married name of spouse
16. NAME of Father Isaac Kenney
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Martha Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Clarisse K. Hill
address Shag Harbour, Nova Scotia
Relationship to deceased Daughter
21. Place of burial Shag Harbour, Nova Scotia
Date of burial 09 December 1971
22. Undertaker Kenney Funeral Service, Barrington, Shelburne Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 6, 1971
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b) Injury
(c) Advanced Atherosclerosis
other
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