Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Challoner death at South Ohio, Yarmouth County on January 9, 1971
Male Death Registration: Year: 1971 number: 1170
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001170
1. PLACE OF DEATH County of Yarmouth If in City or Town South Ohio
If death occured in a hospital or institution South Ohio
3. PRINT NAME OF DECEASED Challoner, William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Yar. County, Deerfield
9. DATE OF BIRTH 4 25, 1890
10. AGE in Years80 Months Days | hrs or mins
11. Trade or profession Painter
12. Kind of industry
13. Date last worked 1955 14. Total years
15. If married name of spouse Mary Challoner
16. NAME of Father James Challoner
17. BIRTHPLACE Deer Field Yar. Co.
18. NAME of Mother Ada Rogers
19. BIRTHPLACE Mood's Mill Rd.
20. Signature of Informant Raymond Challoner
address Deer Field, So Ohio, Yar. Co.
Relationship to deceased Son
21. Place of burial Yar. Co. Pleasant Valley
Date of burial January 12, 1971
22. Undertaker H.M. Huskilson's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1971
CAUSE OF DEATH
(a) Complete heart block
(b) ASHD
(c)
other
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