Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Helen Grace Chetwynd death at West Baccaro, Shelburne County on August 22, 1970
Female Death Registration: Year: 1970 number: 5169
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005169
1. PLACE OF DEATH County of Shelburne If in City or Town West Baccaro
3. PRINT NAME OF DECEASED Chetwynd, Helen Grace
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 5, 1968
10. AGE in Years1 Months11 Days17 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Vernon Chetwynd
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Susie Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Susie Chetwynd
address East Baccaro
Relationship to deceased Mother
21. Place of burial Port La Tour
Date of burial August 25, 1970
22. Undertaker Kenney Funeral Service, Barrington
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 22, 1970
CAUSE OF DEATH
(a) Asphyxia from Drowning
(b)
(c)
other Accident fell into well
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