Male Death Registration: Year: 1971 number: 2293
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002293
1. PLACE OF DEATH County of Hants If in City or Town Garlands Crossing
If death occured in a hospital or institution died in woods, Garland, NS
3. PRINT NAME OF DECEASED Chapman, Douglas David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Berwick
9. DATE OF BIRTH 2 22, 1938
10. AGE in Years32 Months11 Days20 | 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 Walter Chapman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Louisa O'Neil
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Walter Chapman
address Waterville, NS
Relationship to deceased father
21. Place of burial Berwick Cemetery
Date of burial March 3 1971
22. Undertaker HC Lindsay Funeral Home, Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 19, 1971
CAUSE OF DEATH
(a) exposure to cold
(b) overdose of drugs
(c)
other Suicide
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494370
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