Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Carman Russell Chase death at Thompson Station, Cumberland County on January 16, 1971

Male Death Registration: Year: 1971 number: 1752

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001752

1. PLACE OF DEATH   County of Cumberland If in City or Town Thompson Station
If death occured in a hospital or institution Thompson Station

3. PRINT NAME OF DECEASED Chase, Carman Russell

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Cumb. Co

9. DATE OF BIRTH 12  23, 1898

10. AGE in  Years72  Months  Days26 | hrs or mins

11. Trade or profession Laborer

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father Charles  Chase

17. BIRTHPLACE Cumb. Co

18. NAME of Mother Mary  King

19. BIRTHPLACE Nova Scotia

20. Signature of Informant

      address Oxford

      Relationship to deceased Niece

21. Place of burial Thompson Sta. Cumb. Co. N.S.

      Date of burial January 20, 1971

22. Undertaker

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 16, 1971

CAUSE OF DEATH

(a) Exposure

(b) Old Right and Left Coronary Occlusion

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493830

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