Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Alexander Chisholm death at Halifax, Halifax County on January 20, 1971
Male Death Registration: Year: 1971 number: 1202
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001202
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 2080 Windsor St.
3. PRINT NAME OF DECEASED Chisholm, John Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 15, 1885
10. AGE in Years85 Months6 Days5 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Colin Chisholm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Christina
19. BIRTHPLACE Nova Scotia
20. Signature of Informant St. Vincent Care House
address 2080 Windsor St., Hfx
Relationship to deceased
21. Place of burial Mount Olivet, Hfx.
Date of burial January 21, 1971
22. Undertaker Snow & Co., Ltd., Hfx.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 20, 1971
CAUSE OF DEATH
(a) Uraemia
(b) Bladder Calculi
(c) Chronic Infection
other Arteriosclerosis
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