Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frederick William Chapman death at Amherst, Cumberland County on May 10, 1971
Male Death Registration: Year: 1971 number: 3419
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003419
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Chapman, Frederick William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 2 18, 1905
10. AGE in Years66 Months2 Days22 | hrs or mins
11. Trade or profession Arc Welder
12. Kind of industry Enamel Heating Co Ltd
13. Date last worked 1969 14. Total years 20 yrs
15. If married name of spouse Pearl W Chapman
16. NAME of Father William Y Chapman
17. BIRTHPLACE Amherst, NS
18. NAME of Mother Annie Roberts
19. BIRTHPLACE St. John's, Nfld
20. Signature of Informant Pearl W Chapman
address 4 Sackville Rd Amherst NS
Relationship to deceased wife
21. Place of burial Amherst Cemetery Co. Amherst, NS Amherst Cemetery Co
Date of burial May 12, 1971
22. Undertaker Furlong Funeral Home Ltd. Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 10, 1971
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Bronchogenic Carcinoma
(c)
other Uremia
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