Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frederick Miles Chipman death at Middleton, Annapolis County on November 3, 1971
Male Death Registration: Year: 1971 number: 6549
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006549
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Chipman, Frederick Miles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Middleton, Annapolis County
9. DATE OF BIRTH 12 24, 1917
10. AGE in Years54 Months10 Days10 | hrs or mins
11. Trade or profession Farmer & Lumberman
12. Kind of industry
13. Date last worked October 1971 14. Total years 32 years
15. If married name of spouse Jean Chipman
16. NAME of Father Frank Miles Chipman
17. BIRTHPLACE Nictaux, Annapolis Co., NS
18. NAME of Mother Muriel Fitzrandolph
19. BIRTHPLACE South Williamston, Annapolis Co., NS
20. Signature of Informant Jean Chipman
address Wilmot, Annapolis Co., NS
Relationship to deceased Wife
21. Place of burial Nictaux, Annapolis Co., NS
Date of burial 6 November 1971
22. Undertaker Frederick G. Roop Funeral Service, Middleton, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 3, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Ischemic Heart Disease
(c)
other Polycystic Kidneys, Diabetes Mellitus and Hypertension
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