Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Marguerita Chisholm death at New Glasgow, Pictou County on July 29, 1971
Female Death Registration: Year: 1971 number: 5292
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005292
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen hospital
3. PRINT NAME OF DECEASED Chisholm, Marguerita
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 23, 1893
10. AGE in Years77 Months9 Days6 | hrs or mins
11. Trade or profession Retired School Teacher
12. Kind of industry Public School
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Daniel F Chisholm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Christina MacDougall
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Roderick Chisholm
address Queen St., Westville, NS
Relationship to deceased Brother
21. Place of burial Holy Name Cemetery, Westville, NS
Date of burial Aug 1, 1971
22. Undertaker Eagles Funeral Home, Westville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 29, 1971
CAUSE OF DEATH
(a) Metastatic pelvis
(b) Carcinoma ascending colon
(c)
other
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