Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gary Graham Chaplin death at Upper Stewiacke, Colchester County on November 25, 1970
Male Death Registration: Year: 1970 number: 6964
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006964
1. PLACE OF DEATH County of Colchester If in City or Town Upper Stewiacke
If death occured in a hospital or institution Stewiacke River
3. PRINT NAME OF DECEASED Chaplin, Gary Graham
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 3, 1946
10. AGE in Years24 Months7 Days22 | hrs or mins
11. Trade or profession Wood Machine Operator
12. Kind of industry
13. Date last worked 14. Total years 1 yr
15. If married name of spouse
16. NAME of Father John Chaplin
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ruby Graham
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John Chaplin
address RR1, Upper Musquodoboit
Relationship to deceased Father
21. Place of burial Riverside Cemetery, Col Co
Date of burial Nov 29 1970
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 25, 1970
CAUSE OF DEATH
(a) asphyxia
(b) drowning
(c)
other Accident - passenger in car that went into river
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