Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Evelyn Chiasson death at New Waterford, Cape Breton County on October 26, 1970
Female Death Registration: Year: 1970 number: 6435
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006435
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Hospital
3. PRINT NAME OF DECEASED Chiasson, Evelyn
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Port Hood
9. DATE OF BIRTH 10 12, 1921
10. AGE in Years49 Months0 Days14 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Charles Chiasson
16. NAME of Father Angus O'Connor
17. BIRTHPLACE Port Hood, Inverness
18. NAME of Mother Catherine Wilmet
19. BIRTHPLACE Mabou
20. Signature of Informant Mrs. Myles MacDonald
address 17 Ling St, New Waterford
Relationship to deceased sister
21. Place of burial St. Agnes Cemetery, New Waterford
Date of burial Oct 29, 1970
22. Undertaker V.J. Mcgillvray Funeral Home Ltd New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 26, 1970
CAUSE OF DEATH
(a) Acute pulmonary edema
(b) Myxedema
(c)
other
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