Male Death Registration: Year: 1970 number: 3612
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003612
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St Elizabeth's Hospital
3. PRINT NAME OF DECEASED Chislett, Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 7 26, 1889
10. AGE in Years80 Months10 Days8 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal mining
13. Date last worked 1959 14. Total years 40
15. If married name of spouse Panthea Burton
16. NAME of Father Charles Chislett
17. BIRTHPLACE Newfoundland
18. NAME of Mother Elizabeth Touche
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs John MacAskill
address 139 Fulton Avenue, Westmount
Relationship to deceased Daughter
21. Place of burial Lakeside Cemetery, North Sydney
Date of burial June 6, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd. North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 3, 1970
CAUSE OF DEATH
(a) acute myocardial infarction
(b) A----- Mason Disease
(c) chronic emphysema
other general debility
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488922
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