Male Death Registration: Year: 1970 number: 1859
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001859
1. PLACE OF DEATH County of Guysborough If in City or Town Guysborough
If death occured in a hospital or institution Guysborough Memorial Hospital
3. PRINT NAME OF DECEASED Chisholm, James David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 6, 1903
10. AGE in Years66 Months8 Days9 | hrs or mins
11. Trade or profession labourer
12. Kind of industry
13. Date last worked 1955 14. Total years 30
15. If married name of spouse Minnie Edith (Smith) Chisholm
16. NAME of Father Christopher Chisholm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Hattie Brydle
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Lorraine Worth
address Boyleston
Relationship to deceased daughter
21. Place of burial Guysborough
Date of burial Feb 17 1970
22. Undertaker Thompson & Haverstock Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 15, 1970
CAUSE OF DEATH
(a) congestive cardiac failure
(b) Emphysemia, 1 year
(c) illegible, 10 years
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487173
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