Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Simeon Muise death at Cheticamp, Inverness County on March 17, 1970
Male Death Registration: Year: 1970 number: 2507
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002507
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
3. PRINT NAME OF DECEASED Muise, Simeon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 2 22, 1919
10. AGE in Years51 Months0 Days23 | hrs or mins
11. Trade or profession Labor
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse Marguerite Muise
16. NAME of Father John Muise
17. BIRTHPLACE Inverness County
18. NAME of Mother Sophique LeBlanc
19. BIRTHPLACE Inverness County
20. Signature of Informant Willie Tom Muise
address Petit Etang
Relationship to deceased Brother
21. Place of burial Cheticamp
Date of burial March 19th, 1970
22. Undertaker L.L. Chiasoon & son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 17, 1970
CAUSE OF DEATH
(a) Carcinoma of Pancreas
(b)
(c)
other
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