Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jerome Cyril Chisholm death at Antigonish, Antigonish County on January 31, 1971
Male Death Registration: Year: 1971 number: 1855
Click to view and save (right-click) each image above for free or contact us to Buy certified paper copies. | Send a correction
Click to view and save (right-click) each image above for free or contact us to Buy certified paper copies. | Send a correction
note: transcription publicly contributed - please contact us with comments, errors or omisions
PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001855
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St Martha's Hospital, Antigonish, NS
3. PRINT NAME OF DECEASED Chisholm, Jerome Cyril
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Port Hood, Inv Co
9. DATE OF BIRTH 12 3, 1897
10. AGE in Years73 Months1 Days28 | hrs or mins
11. Trade or profession Clergyman
12. Kind of industry RC
13. Date last worked Dec 26/70 14. Total years life
15. If married name of spouse
16. NAME of Father Duncan MacIntosh Chisholm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Walsh
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Chancery Office
address Antigonish, NS
Relationship to deceased
21. Place of burial Antigonish, NS
Date of burial Feb 3, 1971
22. Undertaker MacIsaac Funeral Home, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 31, 1971
CAUSE OF DEATH
(a) Lobar pneumonia x6 days
(b) Chronic Obstructive Lung Disease x 10yrs+
(c)
other Diverticulitis x 3 wks Prostatic Obstruction x 2 wks
Keyword Search looks for the "term" (one word or number works best) you type throughout the whole record. It is less accurate than the advanced search but it does let you search for age, religion, mother's maiden name, etc. if transcribed.