Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alexander William Chisholm death at Antigonish, Antigonish County on August 9, 1971
Male Death Registration: Year: 1971 number: 5460
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005460
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
3. PRINT NAME OF DECEASED Chisholm, Alexander William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE St. Andrews
9. DATE OF BIRTH 11 30, 1885
10. AGE in Years85 Months8 Days10 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 1950 14. Total years 45 yrs
15. If married name of spouse
16. NAME of Father William Chisholm
17. BIRTHPLACE NS
18. NAME of Mother Flora Forbes
19. BIRTHPLACE NS
20. Signature of Informant Gerry Joe. Pius Chisholm
address St. Andrews, Antigonish Co., NS
Relationship to deceased Nephew
21. Place of burial St. Andrews Roman Catholic Cemetery, St. Andrews, NS
Date of burial Aug 11, 1971
22. Undertaker Curry Bros Funeral Directors Ltd., Antigonish, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 9, 1971
CAUSE OF DEATH
(a) Uraemia
(b) Chronic Nephritis
(c)
other Arteriosclerotic Heart Disease and Congestive failure
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