Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dora Mayne Chapman death at Amherst, Cumberland County on August 10, 1970
Female Death Registration: Year: 1970 number: 5748
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005748
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital, Amherst
3. PRINT NAME OF DECEASED Chapman, Dora Mayne
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Chapman Settlement
9. DATE OF BIRTH 8 6, 1871
10. AGE in Years99 Months0 Days4 | hrs or mins
11. Trade or profession housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Joseph Elmore Chapman
16. NAME of Father Howard Chapman
17. BIRTHPLACE Chapman Settlement
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant E.H. Chapman
address 198 Church St., Amherst
Relationship to deceased Son
21. Place of burial Amherst Cemetery
Date of burial August 13, 1970
22. Undertaker Furlong's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 10, 1970
CAUSE OF DEATH
(a) Senility, ?? from fall
(b)
(c)
other
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