Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Chow death at Halifax, Halifax County on January 31, 1970
Male Death Registration: Year: 1970 number: 1431
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001431
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Children's Hospital, Halifax,NS
3. PRINT NAME OF DECEASED Chow,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Chinese
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 1 21, 1970
10. AGE in Years Months Days10 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Leong Chow
17. BIRTHPLACE China
18. NAME of Mother Waitong Young
19. BIRTHPLACE China
20. Signature of Informant Long Chow
address 48 Clayton Park Dr, Halifax
Relationship to deceased Father
21. Place of burial Fairview Cemetery, Halifax
Date of burial Feb 3, 1970
22. Undertaker R. D. Lindsay, Halifax,NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 31, 1970
CAUSE OF DEATH
(a) Multiple
(b) Congenital Anomalies
(c)
other
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