Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Amedee Chiasson death at Cheticamp, Inverness County on August 27, 1970
Male Death Registration: Year: 1970 number: 5895
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005895
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Sacred Heart Hospital
3. PRINT NAME OF DECEASED Chiasson, Amedee
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 1 8, 1905
10. AGE in Years65 Months7 Days19 | hrs or mins
11. Trade or profession retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Lubin Chiasson
17. BIRTHPLACE Inverness County
18. NAME of Mother Elizabeth Bourgeois
19. BIRTHPLACE Inverness County
20. Signature of Informant Dorothy A Barone
address 12 Lamphere Circle, Framingham, Mass
Relationship to deceased daughter
21. Place of burial North Cambridge Catholic Cemetery, USA
Date of burial Sept 1, 1970
22. Undertaker LL Chiasson & Sons, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 27, 1970
CAUSE OF DEATH
(a) CVA, Cerebral Vascular Accident
(b)
(c)
other
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