Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Stanley Jonathan Chase death at Pugwash, Cumberland County on January 13, 1970
Male Death Registration: Year: 1970 number: 1484
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001484
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution North Cumberland Memorial Hospital
3. PRINT NAME OF DECEASED Chase, Stanley Jonathan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Rockley
9. DATE OF BIRTH 11 19, 1895
10. AGE in Years74 Months1 Days25 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked July 1965 14. Total years 52
15. If married name of spouse Gladys Chase
16. NAME of Father Benjamin Chase
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Jane Pipes
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Douglas Chase
address RR #1 Pugwash
Relationship to deceased Son
21. Place of burial Pugwash
Date of burial January 15, 1970
22. Undertaker W.I. Mundle, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 13, 1970
CAUSE OF DEATH
(a) Myocardial Infraction
(b) Coronary Infraction
(c)
other Carcinoma of prostate Diabetes mellitus
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