Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Thomas Frank Muise death at Main Rd, Brooklyn, Yarmouth County on April 5, 1970

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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