Male Death Registration: Year: 1970 number: 6146
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006146
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City of Sydney Hospital, Sydney
3. PRINT NAME OF DECEASED Andrews, Chapin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 10 9, 1897
10. AGE in Years73 Months Days4 | hrs or mins
11. Trade or profession Foreman, steel company
12. Kind of industry Machine shop
13. Date last worked 14. Total years
15. If married name of spouse Lenora Ethridge Andrews
16. NAME of Father George Andrews
17. BIRTHPLACE North Sydney
18. NAME of Mother Flora Ross
19. BIRTHPLACE Margaree
20. Signature of Informant Mrs. Chapin Andrews
address Sydney
Relationship to deceased Wife
21. Place of burial Forrest Haven Memorial Gardens, Sydney
Date of burial October 15, 1970
22. Undertaker R.H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 13, 1970
CAUSE OF DEATH
(a) Cancer of prostate
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491453
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