Male Death Registration: Year: 1971 number: 4912
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004912
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
3. PRINT NAME OF DECEASED Chisholm, Christopher Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE West Bay Rd.
9. DATE OF BIRTH 10 10, 1891
10. AGE in Years79 Months8 Days24 | hrs or mins
11. Trade or profession retired
12. Kind of industry Canadian National Railway
13. Date last worked 1960 14. Total years 25 yrs
15. If married name of spouse
16. NAME of Father Alexander Christopher Chisholm
17. BIRTHPLACE North Grant, Ant. Co, NS
18. NAME of Mother Mary Jane MacDonald
19. BIRTHPLACE Soldiers Cove, NS
20. Signature of Informant Joseph Chisolm
address 796 Victoria Rd, Sydney, NS
Relationship to deceased Son
21. Place of burial Port Hawkesbury, NS
Date of burial July 12, 1971
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 4, 1971
CAUSE OF DEATH
(a) died alone in his apartment about 5 days before found.
(b)
(c) arteriosclerotic cardiac disease
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496987
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