Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Maurice Wayne Chetwynd death at Newellton, Shelburne County on November 4, 1971
Male Death Registration: Year: 1971 number: 6506
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006506
1. PLACE OF DEATH County of Shelburne If in City or Town Newellton
3. PRINT NAME OF DECEASED Chetwynd, Maurice Wayne
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 3, 1950
10. AGE in Years21 Months4 Days1 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked October 1971 14. Total years 8
15. If married name of spouse Marsha Helena
16. NAME of Father Clayton Howard
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Islaina H. O'Connell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Marsha Chetwynd
address Newellton
Relationship to deceased Wife
21. Place of burial West Baccaro
Date of burial November 7, 1971
22. Undertaker Kenney Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident - drowning fell overboard small fishing boat
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