Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charlotte Mabel Chaddock death at 3900 Gottingen St., Halifax, Halifax County on January 15, 1970
Female Death Registration: Year: 1970 number: 1202
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001202
1. PLACE OF DEATH County of Halifax If in City or Town 3900 Gottingen St., Halifax
3. PRINT NAME OF DECEASED Chaddock, Charlotte Mabel
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 21, 1893
10. AGE in Years76 Months6 Days25 | hrs or mins
11. Trade or profession
12. Kind of industry none.
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Philip Chaddock
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant [illegible] French
address 3900 Gottingen St. Halifax
Relationship to deceased none
21. Place of burial Camp Hill Cem, Halifax
Date of burial Jan. 16 / 70
22. Undertaker Snow Co. Ltd, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 15, 1970
CAUSE OF DEATH
(a) ASHD.
(b) generalized arteriosclerosis
(c)
other emaciation - cause
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