Male Death Registration: Year: 1970 number: 3007
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003007
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Chapman, Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Head of Amherst
9. DATE OF BIRTH 12 29, 1895
10. AGE in Years74 Months3 Days21 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 10 years ago 14. Total years life
15. If married name of spouse Vera M. Chapman
16. NAME of Father George B. Chapman
17. BIRTHPLACE Head of Amherst
18. NAME of Mother Edith E. Cook
19. BIRTHPLACE Cooksville, New Brunswick
20. Signature of Informant Leigh Chapman
address 2 Spring St. Amherst
Relationship to deceased Son
21. Place of burial Amherst
Date of burial April 22, 1970
22. Undertaker Furlongs Funeral Home Ltd. Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 19, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488317
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