Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Chesley Leon Williams death at Sandy Point, Shelburne County on February 22, 1971
Male Death Registration: Year: 1971 number: 2070
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002070
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Williams, Chesley Leon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE East Green Harbour
9. DATE OF BIRTH 4 5, 1943
10. AGE in Years27 Months10 Days17 | hrs or mins
11. Trade or profession Disabled
12. Kind of industry Fish handler
13. Date last worked 1969 14. Total years
15. If married name of spouse Janice Elaine Williams
16. NAME of Father Chelsey Leon Sr Williams
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elva May Buchanan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Janice Elaine Williams
address East Green Harbour, NS
Relationship to deceased wife
21. Place of burial East Green Harbour, NS
Date of burial Feb 24, 1971
22. Undertaker Huskilson's Funeral home, Shelb. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 22, 1971
CAUSE OF DEATH
(a) Hodgkins Disease
(b)
(c)
other
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