Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Muise death at Petite Etang, Inverness County on January 29, 1970
Male Death Registration: Year: 1970 number: 1770
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001770
1. PLACE OF DEATH County of Inverness If in City or Town Petite Etang
If death occured in a hospital or institution At Home Petit Etang
3. PRINT NAME OF DECEASED Muise, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 1 16, 1888
10. AGE in Years82 Months0 Days13 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Sophie Muise
16. NAME of Father Simion Muise
17. BIRTHPLACE Inverness County
18. NAME of Mother Luce Deveau
19. BIRTHPLACE Inverness County
20. Signature of Informant Mrs. Sophie Muise
address Petit Etang
Relationship to deceased Wife
21. Place of burial Cheticmap
Date of burial Feb. 1, 1970
22. Undertaker L.L Chiassion & Son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 29, 1970
CAUSE OF DEATH
(a) Renal Shutdown
(b) C.V.A
(c) Paralysis right side
other
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