Death in County of Elgin Division of St. Thomas, Ontario
No. | 195 |
Surname of Deceased | Chapman |
Full given Name | John Edward |
Place of Death, street and number | 37 Chester St. |
Sex | Male |
Racial Origin | English |
Single, Married Widowed | W |
Age | 47 |
Place of Birth | England |
Date of Birth | July 25 1880? |
Trade or Occupation | |
Kind of Industry | |
Length of residence at place of death | 14 yrs |
Length of residence in Ontario | 21 yrs |
Length of residence in Canada | |
Name of Father | Unknown |
Birthplace of Father | Unknown |
Maiden Name of Mother | Unknown |
Birthplace of Mother | Unknown |
Name of Physician | J.W.Curtis |
Name of Informant | Gilbert Chapman |
Address | 37 Chester St. |
Relation to Deceased | son |
Place of Burial | St. Thomas Mausoleum |
Date of Burial | November 15th. 1927 |
Name of Undertaker | Griffith Siften? |
Address | St. Thomas, Ont |
Cause of Death if no Physician attended | |
Date of Death | November 13th 1927 |
MEDICAL CERTIFICATE OF DEATH | |
Name of Deceased | John Edward Chapman |
Date of Death | November 13th 1927 |
Dates from which to which Medical Practitioner attended Deceased | from July 1924 to Oct. 10/27 |
Cause of Death Primary | Endocarditis? |
Cause of Death Duration | 4 yrs |
Cause of Death Contributary | |
Cause of Death Duration | |
Did an operation precede death? | |
Was there an autopsy? | |
Name of Physician | J.W. Curtis |
Address | St. Thomas, Ont |
Date of Return | |
Date received by Division Registrar | November 14th. 1927 |
I certify that the foregoing are correction registrations of Death made to me during the month of November 1927
W.B.Botherby? D.R. or Sub-Registrar.
Address St. THomas, Ontario
Source:Ancestry.com. Ontario, Canada Deaths, 1869-1934
Source Citation: Roll MS935_346.