Male Death Registration: Year: 1970 number: 1473
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001473
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Chapman, John Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Truro
9. DATE OF BIRTH 12 4, 1920
10. AGE in Years49 Months1 Days13 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Clara Weatherby
16. NAME of Father Roy Chapman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bessie Reynolds
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Clara Weatherby
address 31 Elizabeth St., Truro
Relationship to deceased Wife
21. Place of burial Robie St, Truro
Date of burial Jan. 22, 1970
22. Undertaker P.B. Kennedy, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 17, 1970
CAUSE OF DEATH
(a) Cancer of lung
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486787
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