Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Norman Edward Charles Challoner death at Yarmouth, Yarmouth County on January 9, 1971
Male Death Registration: Year: 1971 number: 1169
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001169
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Challoner, Norman Edward Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Deerfield, Yar. County
9. DATE OF BIRTH 2 9, 1892
10. AGE in Years78 Months11 Days | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer
13. Date last worked 14. Total years
15. If married name of spouse Estella M. Challoner
16. NAME of Father James Challoner
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ada Rogers
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Estella Challoner
address Deerfield, Yar. Co.
Relationship to deceased Wife
21. Place of burial Pleasant Valley, Yar. Co.
Date of burial January 12, 1971
22. Undertaker Sweeny's Funeral
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Emphyzema
(c) Chronic Bronchitis
other ASHD Hypertension
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