Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Larry Douglas Chetwynd death at Halifax, Halifax County on August 25, 1970
Male Death Registration: Year: 1970 number: 5037
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005037
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Chetwynd, Larry Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French & English
7. Single, Married
single
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 1 25, 1954
10. AGE in Years16 Months7 Days | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Andrew W. Chetwynd
17. BIRTHPLACE Woods Harbour
18. NAME of Mother Marion Joyce Comeau
19. BIRTHPLACE Yarmouth
20. Signature of Informant Andrew W. Chetwynd
address 10 School Street, Middleton, Annapolis Co.
Relationship to deceased Father
21. Place of burial Pine Grove Cemetery, Middleton, Annapolis Co.
Date of burial 28 August 1970
22. Undertaker Frederick & Sons Funeral Services, Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 25, 1970
CAUSE OF DEATH
(a) Leukemia
(b)
(c)
other
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