Male Death Registration: Year: 1970 number: 5013
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005013
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Chin, Chee
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Chinese
7. Single, Married
married
8. BIRTHPLACE China
9. DATE OF BIRTH 7 7, 1898
10. AGE in Years72 Months1 Days12 | hrs or mins
11. Trade or profession
12. Kind of industry Laundry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Chin Fook
address 1596 Grafton Street, Halifax
Relationship to deceased none
21. Place of burial Fairview Cemetery, Halifax
Date of burial 21 August, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 19, 1970
CAUSE OF DEATH
(a) broncleo pnenmonia
(b)
(c)
other COA
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490321
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