Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ida Chisholm death at New Glasgow, Pictou County on January 12, 1971
Female Death Registration: Year: 1971 number: 1276
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001276
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hosp.
3. PRINT NAME OF DECEASED Chisholm, Ida
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 13, 1879
10. AGE in Years91 Months6 Days30 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Daniel Chisholm
16. NAME of Father Daniel Robertson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret MacLellan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. James Chisholm
address Eureka, Pictou Co.
Relationship to deceased Son
21. Place of burial Sunny Brae
Date of burial January 14, 1971
22. Undertaker Angus, New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 12, 1971
CAUSE OF DEATH
(a) pneumonia
(b)
(c)
other
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