Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Joseph Chisholm death at St. Francis Harbour, Guysborough County on June 25, 1971
Male Death Registration: Year: 1971 number: 4438
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004438
1. PLACE OF DEATH County of Guysborough If in City or Town St. Francis Harbour
3. PRINT NAME OF DECEASED Chisholm, John Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 19, 1886
10. AGE in Years84 Months8 Days6 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1961 14. Total years 40
15. If married name of spouse Mary Catherine Chisholm
16. NAME of Father James Chisholm
17. BIRTHPLACE NS
18. NAME of Mother Mary Carr
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Mary C. Chisholm
address RR #1, Mulgrave (St. Francis Hbr.)
Relationship to deceased Wife
21. Place of burial St. Francis Hbr., Guys. Co., NS
Date of burial June 25, 1971
22. Undertaker Thompson & Haverstock Funeral Home, Port Hawkesbury, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 25, 1971
CAUSE OF DEATH
(a) Carcinoma of Prostate
(b)
(c)
other
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