Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elizabeth Chisholm death at Bridgetown, Annapolis County on February 2, 1971
Female Death Registration: Year: 1971 number: 1439
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001439
1. PLACE OF DEATH County of Annapolis If in City or Town Bridgetown
If death occured in a hospital or institution Mountain Lea Lodge
3. PRINT NAME OF DECEASED Chisholm, Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Windsor
9. DATE OF BIRTH 2 10, 1878
10. AGE in Years92 Months11 Days23 | hrs or mins
11. Trade or profession
12. Kind of industry nurse
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James Chisholm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Brown
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. C.B. Foster
address 16 Walters St., Dartmouth
Relationship to deceased Niece
21. Place of burial Windsor
Date of burial February 4, 1971
22. Undertaker Bridgetown Funeral Home. Robert L. Hall
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 2, 1971
CAUSE OF DEATH
(a) Cerebral arteriosclerosis
(b)
(c)
other dehydration
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