Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Reginald Henry Chipman death at Wolfville, Kings County on August 31, 1970

Male Death Registration: Year: 1970 number: 5418

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005418

1. PLACE OF DEATH   County of Kings If in City or Town Wolfville
If death occured in a hospital or institution Eastern Kings Memorial Hospital

3. PRINT NAME OF DECEASED Chipman, Reginald Henry

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Scottish

7. Single, Married

married

8. BIRTHPLACE Grand Pre

9. DATE OF BIRTH 4  23, 1888

10. AGE in  Years82  Months4  Days7 | hrs or mins

11. Trade or profession Pharmacist

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse Mary Edna Jenkins

16. NAME of Father Dr. Henry Chipman

17. BIRTHPLACE Chipman Corner

18. NAME of Mother Margaret Thomson

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs. Mary E. Chipman

      address Grand Pre

      Relationship to deceased Wife

21. Place of burial St. John's Anglican Cemetery

      Date of burial September 3, 1970 Thursday 3pm

22. Undertaker H.C. Lindsay Funeral Home, Wolfville

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 31, 1970

CAUSE OF DEATH

(a) Peritonitis

(b) perforated diverticulitis

(c) chronic diverticulitis colon

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490726

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