Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Isabelle Chiasson death at Glace Bay, Cape Breton County on November 20, 1970
Female Death Registration: Year: 1970 number: 6816
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006816
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St Joseph's Hospital
3. PRINT NAME OF DECEASED Chiasson, Mary Isabelle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Frenchvale
9. DATE OF BIRTH 8 24, 1892
10. AGE in Years78 Months2 Days27 | hrs or mins
11. Trade or profession Houseduties
12. Kind of industry at home
13. Date last worked 1968 14. Total years
15. If married name of spouse Joseph Chiasson (dec.)
16. NAME of Father John LeClare
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John J Chiasson
address Reserve Mines
Relationship to deceased Son
21. Place of burial St. Joseph's Cemetery, Glace Bay
Date of burial Novr 23, 1970
22. Undertaker V J McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 20, 1970
CAUSE OF DEATH
(a) Acute Coronary Occlusion
(b) Arterosclerosis
(c)
other
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