Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Chisholm death at Antigonish, Antigonish County on August 14, 1970
Female Death Registration: Year: 1970 number: 5050
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005050
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Chisholm, Annie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Summerside, Prince Edward Island
9. DATE OF BIRTH 3 17, 1872
10. AGE in Years98 Months4 Days28 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housework
13. Date last worked retired 14. Total years life
15. If married name of spouse Colin William Chisholm
16. NAME of Father William Chisholm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Chisholm
19. BIRTHPLACE Nova Scotia
20. Signature of Informant D.P. Chisholm
address Antigonish
Relationship to deceased son
21. Place of burial Heatherton
Date of burial August 16, 1970
22. Undertaker MacIsaac Funeral Home, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 14, 1970
CAUSE OF DEATH
(a) Arteroscletic
(b)
(c)
other
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