Male Death Registration: Year: 1970 number: 4384
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004384
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
3. PRINT NAME OF DECEASED Chisholm, John Alex
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 1 30, 1891
10. AGE in Years79 Months4 Days24 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mary
16. NAME of Father Duncan Chisholm
17. BIRTHPLACE Cape Breton
18. NAME of Mother Jessie Chichilm
19. BIRTHPLACE Cape Breton
20. Signature of Informant Mrs. John Chisholm
address Royal Court, Sydney
Relationship to deceased Wife
21. Place of burial Resurrection Cemetery, Sydney Forks
Date of burial June 25 1970
22. Undertaker T W Curry Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 23, 1970
CAUSE OF DEATH
(a) Stroke
(b) Arteriosclerosis with cardiac disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489693
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