Male Death Registration: Year: 1970 number: 3291
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003291
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, Claude Eugene
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Brookdale
9. DATE OF BIRTH 7 6, 1892
10. AGE in Years77 Months9 Days27 | hrs or mins
11. Trade or profession CNR Fireman
12. Kind of industry
13. Date last worked 1967 14. Total years Life
15. If married name of spouse Margaret E Chapman
16. NAME of Father George Chapman
17. BIRTHPLACE Cumberland County
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Ralph Hopper
address 12 Clifford St, Amherst
Relationship to deceased Daughter
21. Place of burial Head of Amherst
Date of burial 5 May 1970
22. Undertaker Furlong's Funeral Home Ltd, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 3, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488601
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