Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Joseph Challoner death at Pleasant Valley, Yarmouth County on September 5, 1971
Male Death Registration: Year: 1971 number: 5549
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005549
1. PLACE OF DEATH County of Yarmouth If in City or Town Pleasant Valley
If death occured in a hospital or institution Pleasant Valley
3. PRINT NAME OF DECEASED Challoner, William Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 12 21, 1957
10. AGE in Years13 Months8 Days15 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked Sept 5/71 14. Total years
15. If married name of spouse
16. NAME of Father Raymond Apt. Challoner
17. BIRTHPLACE Deerfield, NS
18. NAME of Mother Sarah Pearl Sabean
19. BIRTHPLACE Deerfield, NS
20. Signature of Informant Raymond A. Challoner
address RR 2 South Ohio (Deerfield) NS
Relationship to deceased Father
21. Place of burial Pleasant Valley
Date of burial Sept 8, 1971
22. Undertaker H.M. Huskilson Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 5, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident: fell from raft into river
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