Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kenneth Chisholm death at Heatherton, Antigonish County on December 6, 1971
Male Death Registration: Year: 1971 number: 7727
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007727
1. PLACE OF DEATH County of Antigonish If in City or Town Heatherton
3. PRINT NAME OF DECEASED Chisholm, Kenneth
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 5, 1903
10. AGE in Years68 Months11 Days1 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked Dec. 6, 1971 14. Total years Life
15. If married name of spouse Mrs. Catherine Chisholm
16. NAME of Father John Kenneth Chisholm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Isabel MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Catherine E Chisholm
address Heatherton
Relationship to deceased wife
21. Place of burial Heatherton, N. S.
Date of burial Dec. 9, 1971
22. Undertaker MacIsaac Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 6, 1971
CAUSE OF DEATH
(a)
(b)
(c)
other
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