Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Archie Chetwynd death at Lockeport, Shelburne County on November 4, 1970
Male Death Registration: Year: 1970 number: 6500
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006500
1. PLACE OF DEATH County of Shelburne If in City or Town Lockeport
3. PRINT NAME OF DECEASED Chetwynd, Archie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 15, 1909
10. AGE in Years61 Months3 Days19 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked Nov 1920 14. Total years 45
15. If married name of spouse Muriel Chetwynd
16. NAME of Father Ransom Chetwynd
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Beatrice Grief
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Archie Chetwynd
address Lockport
Relationship to deceased wife
21. Place of burial Isboine
Date of burial Nov 7, 1970
22. Undertaker H M Huskilson, Lockeport
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Coronary atherosclerosis
(c)
other Hypertension
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