Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Louise Elizabeth Chipman death at Middleton, Annapolis County on April 19, 1970
Female Death Registration: Year: 1970 number: 2855
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002855
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
3. PRINT NAME OF DECEASED Chipman, Louise Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 8, 1882
10. AGE in Years87 Months8 Days11 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1964 14. Total years Life
15. If married name of spouse Ernest Leander Chipman
16. NAME of Father Adelbert Wilkins
17. BIRTHPLACE Nova scotia
18. NAME of Mother Bessie Elizabeth Gates
19. BIRTHPLACE Novia Scotia
20. Signature of Informant Miss Elizabeth Chipman
address 198 Main Street, Middleton.
Relationship to deceased Daughter
21. Place of burial Middleton
Date of burial April, 22-1970
22. Undertaker WARREN T. ROOP LTD. Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 19, 1970
CAUSE OF DEATH
(a) Cardio Vascular Accident
(b) Arterio Sclerosis
(c)
other urinary infection
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