Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Francois Chiasson death at Cheticamp, Inverness County on July 13, 1970
Male Death Registration: Year: 1970 number: 4816
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004816
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Sacred Heart Hospital
3. PRINT NAME OF DECEASED Chiasson, Clarence Francois
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 5 20, 1910
10. AGE in Years60 Months1 Days23 | hrs or mins
11. Trade or profession
12. Kind of industry Grocery Store
13. Date last worked March 14. Total years 17
15. If married name of spouse Beatrice Chiasson
16. NAME of Father Thomas Chiasson
17. BIRTHPLACE Inverness County
18. NAME of Mother Mathilde Chiasson
19. BIRTHPLACE Inverness County
20. Signature of Informant Mr. Chiasson
address 118 McKay Ave, Moncton, New Brunswick
Relationship to deceased son
21. Place of burial Cheticamp
Date of burial July 15, 1970
22. Undertaker LL Chiasson and Son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 13, 1970
CAUSE OF DEATH
(a) Cancer of Aesophagus
(b) none
(c)
other cirrhosis
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