Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Simon Fraser Chisholm death at New Glasgow, Pictou County on March 25, 1971
Male Death Registration: Year: 1971 number: 2931
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002931
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital, New Glasgow, NS
3. PRINT NAME OF DECEASED Chisholm, Simon Fraser
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
married
8. BIRTHPLACE New Glasgow
9. DATE OF BIRTH 11 26, 1893
10. AGE in Years77 Months3 Days27 | hrs or mins
11. Trade or profession merchant
12. Kind of industry car plant
13. Date last worked 1958 14. Total years
15. If married name of spouse Aleen MacKenzie
16. NAME of Father James Angus Chisholm
17. BIRTHPLACE NS
18. NAME of Mother Mary Belle MacGregor
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Fraser Chisholm
address River St, Stellarton
Relationship to deceased wife
21. Place of burial Brookside, Stellarton
Date of burial March 27 1971
22. Undertaker MacQuarrie, Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 25, 1971
CAUSE OF DEATH
(a) Degenerative cardio and cerebrovascular disease
(b)
(c)
other Accident: fall in bedroom, fractured hip
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