Male Death Registration: Year: 1970 number: 2792
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002792
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Chesley, Horton Percy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 15, 1876
10. AGE in Years94 Months10 Days7 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1966 14. Total years 70
15. If married name of spouse
16. NAME of Father John Chelsey
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Laleah Wheelock
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gordon Chesley
address New Germany
Relationship to deceased Son
21. Place of burial New Germany
Date of burial April 15, 1970
22. Undertaker Langilles Funeral Home, Barrs Corner
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 12, 1970
CAUSE OF DEATH
(a) Uremia
(b) Chronic nephritis
(c) Prostate hypertrophy
other Senility
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488104
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