Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Frederick Chisholm death at Sydney, Cape Breton County on August 31, 1970

Male Death Registration: Year: 1970 number: 5374

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005374

1. PLACE OF DEATH   County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital

3. PRINT NAME OF DECEASED Chisholm, Frederick

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

married

8. BIRTHPLACE Truro

9. DATE OF BIRTH 8  25, 1912

10. AGE in  Years58  Months  Days16 | hrs or mins

11. Trade or profession Steel Co.

12. Kind of industry Scale office

13. Date last worked Aug 18,1970       14. Total years

15. If married name of spouse Joan Chisholm

16. NAME of Father George  Chisholm

17. BIRTHPLACE Truro

18. NAME of Mother Letitia  Brown

19. BIRTHPLACE Truro

20. Signature of Informant Mrs. Joan Chisholm

      address 100 Grandview Street, Sydney

      Relationship to deceased Widow

21. Place of burial Hardwood Hill Cemetery, Sydney

      Date of burial Sept 3 1970

22. Undertaker RH Fillmore funeral Home, Ltd.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 31, 1970

CAUSE OF DEATH

(a) Myocardial infarction

(b) Adrenal crisis

(c)

other Chronic adrenal rheumatoid insufficiency.

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