Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Emma Jeanett Chute death at Berwick, Kings County on October 2, 1970
Female Death Registration: Year: 1970 number: 6061
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006061
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED Chute, Emma Jeanett
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Steam Mill
9. DATE OF BIRTH 3 10, 1874
10. AGE in Years96 Months6 Days21 | 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 Edward Chute
16. NAME of Father James Inias
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anna Leopold
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Helen Crocker
address Berwick
Relationship to deceased Daughter
21. Place of burial Berwick Cemetery
Date of burial October 5, 1970
22. Undertaker H.C. Lindsay Funeral Home, Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 2, 1970
CAUSE OF DEATH
(a) Congestive heart failure
(b)
(c)
other
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