Female Death Registration: Year: 1970 number: 5485
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005485
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, Florence
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Heatherton
9. DATE OF BIRTH 1 1, 1896
10. AGE in Years74 Months8 Days7 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Home
13. Date last worked Retired 14. Total years Life
15. If married name of spouse Alexander Daniel Chisholm
16. NAME of Father James Armstrong
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Flora Smith
19. BIRTHPLACE Scotland
20. Signature of Informant Chisholm
address Summerside
Relationship to deceased Son
21. Place of burial Heatherton
Date of burial Sept 11, 1970
22. Undertaker MacIsaac Funeral Home, Antigonish,
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 8, 1970
CAUSE OF DEATH
(a) Acute myocardial infarction
(b) Diabetes Mellitus
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490793
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