Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clara Marguerite Chute death at Middleton, Annapolis County on June 12, 1970
Female Death Registration: Year: 1970 number: 3821
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003821
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Chute, Clara Marguerite
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Lynn, Massachusetts, USA
9. DATE OF BIRTH 2 7, 1883
10. AGE in Years87 Months4 Days5 | hrs or mins
11. Trade or profession
12. Kind of industry housewife
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Frederick Alexander Simms
17. BIRTHPLACE England
18. NAME of Mother Margaurite Barry
19. BIRTHPLACE England
20. Signature of Informant Clifford R Chute
address Hampton, Anna. Co.
Relationship to deceased Son
21. Place of burial Hampton Cemetery
Date of burial June 16, 1970
22. Undertaker Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1970
CAUSE OF DEATH
(a) Senile Decay
(b) Arterosclerosis
(c) Diffuse cerebral sclerosis
other
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