Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert William Oscar Chase death at Wolfville, Kings County on November 3, 1971
Male Death Registration: Year: 1971 number: 6381
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006381
1. PLACE OF DEATH County of Kings If in City or Town Wolfville
If death occured in a hospital or institution E.K.M Hospital
3. PRINT NAME OF DECEASED Chase, Robert William Oscar
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Church St., Port Williams
9. DATE OF BIRTH 10 13, 1902
10. AGE in Years69 Months0 Days20 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 14. Total years
15. If married name of spouse Margaret Hart
16. NAME of Father Oscar Chase
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Little
19. BIRTHPLACE Barrie, Ontario
20. Signature of Informant Mrs. Margaret Chase
address R.R. #1, Port Williams
Relationship to deceased Wife
21. Place of burial Chipman Corner
Date of burial November 5, 1971
22. Undertaker H.C. Lindsay, Wolfville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 3, 1971
CAUSE OF DEATH
(a) Renal Failure
(b) Cardiac Myopathy with Congestive failure
(c) and liver damage
other
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