Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Henry Joseph Chiasson death at New Waterford, Cape Breton County on November 23, 1970

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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