Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Alexander Chisholm death at Antigonish, Antigonish County on July 8, 1971
Male Death Registration: Year: 1971 number: 4233
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004233
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, James Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Caledonia Mills, Ant. County Nova Scotia
9. DATE OF BIRTH 10 16, 1886
10. AGE in Years84 Months8 Days22 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Retired
13. Date last worked 14. Total years
15. If married name of spouse Catherine Fraser
16. NAME of Father Alexander Chisholm
17. BIRTHPLACE NS
18. NAME of Mother Catherine Carroll
19. BIRTHPLACE NS
20. Signature of Informant Alexander W. Chisholm
address St. Andrews, Ant. Co. NS
Relationship to deceased Son
21. Place of burial St. Andrews R. C. Cemetery, St Andrews, Ant. Co. NS
Date of burial July 12, 1971
22. Undertaker Curry Brothers Funeral Directors Ltd, Antigonish, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 8, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b)
(c)
other Generalized Arthritis
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