Male Death Registration: Year: 1971 number: 1887
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001887
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Chapman, Otis Marrell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Chapman Settlement
9. DATE OF BIRTH 8 6, 1903
10. AGE in Years67 Months6 Days | hrs or mins
11. Trade or profession Mechanic
12. Kind of industry D.A. Casey Ltd.
13. Date last worked 1969 14. Total years 40
15. If married name of spouse Pearl J. Miller
16. NAME of Father L. Michael Chapman
17. BIRTHPLACE Chapman Settlement
18. NAME of Mother Alice Ogden
19. BIRTHPLACE Amherst Shore
20. Signature of Informant Aubrey M. Chapman
address 43 Winston Ave., Amherst
Relationship to deceased Son
21. Place of burial Amherst
Date of burial February 9, 1971
22. Undertaker Campbell's Funeral Home, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 6, 1971
CAUSE OF DEATH
(a) Ca of lung
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493965
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