Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Loyola Chisholm death at Antigonish, Antigonish County on January 10, 1970
Female Death Registration: Year: 1970 number: 1125
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001125
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 Chisholm, Mary Loyola
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Alder River
9. DATE OF BIRTH 12 9, 1917
10. AGE in Years52 Months1 Days1 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Colin Donald Chisholm
16. NAME of Father Thomas Glenn
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Brennan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Martin Flynn
address 45 South River Rd, Antigonish
Relationship to deceased Sister
21. Place of burial Immaculate Conception Cem.
Date of burial Jan 13, 1970
22. Undertaker Curry’s Funeral Home, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1970
CAUSE OF DEATH
(a) Acute Congestive Heart Failure
(b) Cardio-Vac Disease
(c)
other
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