Male Death Registration: Year: 1970 number: 3553
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003553
1. PLACE OF DEATH County of Yarmouth If in City or Town Pembroke
If death occured in a hospital or institution 18 Main St
3. PRINT NAME OF DECEASED DeMille, Perley Elmer
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Falmouth
9. DATE OF BIRTH 6 9, 1890
10. AGE in Years79 Months11 Days7 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Myrtle DeMille
16. NAME of Father Maynard DeMille
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Croft
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Cecil DeMille
address RR#3, Yarmouth
Relationship to deceased Son
21. Place of burial Pembroke, Yar. Co
Date of burial May 18, 1970
22. Undertaker Sweeny Funeral Home, Yar.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 16, 1970
CAUSE OF DEATH
(a) Acute Coronary Occlusion
(b) diffuse arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488863
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