Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Richard James Chapman death at Dartmouth, Halifax County on August 28, 1971
Male Death Registration: Year: 1971 number: 5268
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005268
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
3. PRINT NAME OF DECEASED Chapman, Richard James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Canadian
7. Single, Married
widowed
8. BIRTHPLACE Rencontre West, Newfoundland
9. DATE OF BIRTH 11 26, 1900
10. AGE in Years70 Months9 Days2 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fishing
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James Chapman
17. BIRTHPLACE Newfoundland
18. NAME of Mother Elizabeth Clothier
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Violet Chapman
address 348 Princess Margaret Blvd, Dartmouth
Relationship to deceased
21. Place of burial Hillcrest Memorial Gardens, Lower Sackville, NS
Date of burial August 31, 1971
22. Undertaker Mattatall Funeral Service Ltd., Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 28, 1971
CAUSE OF DEATH
(a) Acute Heart Failure
(b) Coronary Artery Occlusion
(c) Severe Atheroma
other
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