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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490682
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