Male Death Registration: Year: 1970 number: 2683
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002683
1. PLACE OF DEATH County of Yarmouth If in City or Town Main Rd, Brooklyn
3. PRINT NAME OF DECEASED Muise, Thomas Frank
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Spring Haven
9. DATE OF BIRTH 10 15, 1895
10. AGE in Years74 Months5 Days21 | hrs or mins
11. Trade or profession Cosmos Mill
12. Kind of industry Retired
13. Date last worked 14. Total years
15. If married name of spouse Ada Muise
16. NAME of Father Joseph Frank Muise
17. BIRTHPLACE Spring Haven
18. NAME of Mother Rose Emma LeBlanc
19. BIRTHPLACE Spring Haven
20. Signature of Informant Alfred J. Muise
address Brooklyn, Yar. Co.
Relationship to deceased Son
21. Place of burial Yarmouth
Date of burial April 8, 1970
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 5, 1970
CAUSE OF DEATH
(a) Liver metastases & Coma
(b) Cancer sigmoid
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487995
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