Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Hugh Chisholm death at Georgeville, Antigonish County on September 21, 1971
Male Death Registration: Year: 1971 number: 5866
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005866
1. PLACE OF DEATH County of Antigonish If in City or Town Georgeville
3. PRINT NAME OF DECEASED Chisholm, John Hugh
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 25, 1929
10. AGE in Years42 Months7 Days27 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked Sep. 15, 1971 14. Total years 20
15. If married name of spouse
16. NAME of Father Ambrose Chisholm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mabel MacInnis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John P MacLean
address 14 Northview Drive, Antigonish, N. S.
Relationship to deceased Brother in law
21. Place of burial St. George's R.C. Cemetery
Date of burial Sep. 26, 1971
22. Undertaker Curry Bros Funeral
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 21, 1971
CAUSE OF DEATH
(a) Gunshot wound of chest
(b)
(c)
other
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