Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Chipman death at New Waterford, Cape Breton County on November 1, 1971
Female Death Registration: Year: 1971 number: 6584
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006584
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Hospital
3. PRINT NAME OF DECEASED Chipman, Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 8 15, 1882
10. AGE in Years89 Months2 Days17 | hrs or mins
11. Trade or profession "At Home"
12. Kind of industry Homemaker
13. Date last worked 14. Total years
15. If married name of spouse Robert Chipman
16. NAME of Father John Pike
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant V. Robert Chipman
address 58 Mahon St. New Waterford NS
Relationship to deceased Son
21. Place of burial All Saints Anglican Cemetery, New Waterford, NS
Date of burial November 4, 1971
22. Undertaker V.A. McGillvray Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 1, 1971
CAUSE OF DEATH
(a) Stroke (Cerebrovascular Accident)
(b) Atherosclerotic Heart Disease
(c)
other
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