Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Maude Ethel Chase death at Wolfville, Kings County on March 10, 1970
Female Death Registration: Year: 1970 number: 2382
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002382
1. PLACE OF DEATH County of Kings If in City or Town Wolfville
If death occured in a hospital or institution EKM Hospital
3. PRINT NAME OF DECEASED Chase, Maude Ethel
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 7, 1893
10. AGE in Years76 Months4 Days3 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Norman J. Chase
16. NAME of Father William Bauckman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Magee
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William Chase
address Port Williams
Relationship to deceased Son
21. Place of burial Upper Canard, Kings Co.
Date of burial Mar 13, 1970
22. Undertaker WD Lindsay Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 10, 1970
CAUSE OF DEATH
(a) Bilateral Pneumonia
(b) ASHDI Congestive Failure
(c)
other
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