Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Allen Chisholm death at New Glasgow, Pictou County on August 29, 1971
Male Death Registration: Year: 1971 number: 6963
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006963
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Glen Haven Manor
3. PRINT NAME OF DECEASED Chisholm, John Allen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Long Point.
9. DATE OF BIRTH 12 24, 1888
10. AGE in Years82 Months8 Days5 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Self
13. Date last worked 1963 14. Total years 24
15. If married name of spouse Mary Anne Chisholm
16. NAME of Father Donald Chisholm
17. BIRTHPLACE Long Point, Inverness Co., NS
18. NAME of Mother Catherine Cameron
19. BIRTHPLACE Craigmore, Inverness Co., NS
20. Signature of Informant M R Mac Donald for Hugh W. Chisholm
address Long Point, NS
Relationship to deceased Son
21. Place of burial Creignish, NS
Date of burial Sept 1, 1971
22. Undertaker Rod Mac Donald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 29, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Generalized Arteriosclerosis
(c)
other
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