Male Death Registration: Year: 1971 number: 4643
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004643
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Atlantic Ocean off Glace Bay
3. PRINT NAME OF DECEASED Chesal, Richard Raymond
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Czechoslaviakan
7. Single, Married
single
8. BIRTHPLACE New Waterford
9. DATE OF BIRTH 10 25, 1949
10. AGE in Years21 Months8 Days21 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Chesal
17. BIRTHPLACE River Hebert, NS
18. NAME of Mother Jean Nearing
19. BIRTHPLACE New Waterford, NS
20. Signature of Informant John Chesal
address 33 Patrick St, Scotchtown, CB
Relationship to deceased Father
21. Place of burial Union Grove Cemetery, Scotchtown, CB, NS
Date of burial July 19, 1971
22. Undertaker V J McGillivray Funeral Homes Limited, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 16, 1971
CAUSE OF DEATH
(a) accidental drowning
(b)
(c)
other Accident: canoe overturned
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496718
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