Male Death Registration: Year: 1970 number: 6950
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006950
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution Consolidated Hospital
3. PRINT NAME OF DECEASED Chiasson, Henry Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Reserve Mines
9. DATE OF BIRTH 8 27, 1911
10. AGE in Years59 Months2 Days27 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Annie LeForte
16. NAME of Father Patrick Chiasson
17. BIRTHPLACE Cheticamp
18. NAME of Mother Mary Ellen Gallant
19. BIRTHPLACE Margaree
20. Signature of Informant Helen Chiasson R.N.
address 75--8th Street New Waterford
Relationship to deceased Sister
21. Place of burial Mt Carmel Cemetery. New Waterford
Date of burial November 26th 1970
22. Undertaker V.J. Mc Gillivray Homes Limited New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1970
CAUSE OF DEATH
(a) respiratory acidosis
(b) pulmonary emphysema
(c)
other chronic bronchitis with acute exacerbation
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492257
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