Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lloyd Ernest Chapman death at Amherst, Cumberland County on April 26, 1971
Male Death Registration: Year: 1971 number: 3180
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003180
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, Lloyd Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Hastings
9. DATE OF BIRTH 10 5, 1892
10. AGE in Years78 Months6 Days21 | hrs or mins
11. Trade or profession farmer
12. Kind of industry 10
13. Date last worked yrs ago 14. Total years life
15. If married name of spouse Alma J Chapman
16. NAME of Father George Chapman
17. BIRTHPLACE Cumb. Co. NS
18. NAME of Mother Julia
19. BIRTHPLACE Cumb. Co. NS
20. Signature of Informant Mrs Fred Clark
address RR#3 Amherst,, NS
Relationship to deceased daughter
21. Place of burial East Amherst, NS
Date of burial April 28, 1971
22. Undertaker Furlong's Funeral Home Ltd. Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 26, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Cerebrovascular Accident
(c) Auricular Fibrillation
other
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