Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Wilfred Muise death at Yarmouth, Yarmouth County on May 29, 1970
Male Death Registration: Year: 1970 number: 3775
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003775
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution 2 Pearl St
3. PRINT NAME OF DECEASED Muise, Charles Wilfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 7 29, 1909
10. AGE in Years60 Months10 Days | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Muise
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Monique Surette
19. BIRTHPLACE Nova Scotia
20. Signature of Informant George Muise
address 2 Pearl St., Yarmouth
Relationship to deceased Brother
21. Place of burial Yarmouth
Date of burial June 2-1970
22. Undertaker Sweeny Funeral Home Yar.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 29, 1970
CAUSE OF DEATH
(a) Subarachnoid hemorrhage
(b)
(c)
other
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