Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Donald Peter Chisholm death at Antigonish, Antigonish County on June 16, 1971
Male Death Registration: Year: 1971 number: 3988
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003988
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Chisholm, Donald Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Heatherton, Ant. County
9. DATE OF BIRTH 8 6, 1903
10. AGE in Years67 Months10 Days10 | hrs or mins
11. Trade or profession President
12. Kind of industry D. P. Chisholm Insurance Company
13. Date last worked Jan 1971 14. Total years
15. If married name of spouse
16. NAME of Father William Chisholm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Chisholm
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Donald P. Chisholm Jr.
address Antigonish, NS
Relationship to deceased Son
21. Place of burial Antigonish, NS
Date of burial June 19, 1971
22. Undertaker MacIsaac Funeral Home, Antigonish, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 16, 1971
CAUSE OF DEATH
(a) Carcinoma of Lung
(b)
(c)
other
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