Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Zacharie Adolph Surette death at Yarmouth, Yarmouth County on February 18, 1970
Male Death Registration: Year: 1970 number: 1928
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001928
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Surette, Zacharie Adolph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Eel Brook
9. DATE OF BIRTH 10 10, 1884
10. AGE in Years85 Months4 Days8 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1950 14. Total years 50
15. If married name of spouse
16. NAME of Father Anselm Surette
17. BIRTHPLACE Eel Brook
18. NAME of Mother Elizabeth
19. BIRTHPLACE Eel Brook
20. Signature of Informant Elizabeth MacGowan
address Ste Anne du Ruisseau
Relationship to deceased niece
21. Place of burial Ste Anne du Ruisseau
Date of burial February 21, 1970
22. Undertaker Huskilson's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 18, 1970
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Pneumonia
(c)
other Diabetes
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