Male Death Registration: Year: 1970 number: 3778
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003778
1. PLACE OF DEATH County of Yarmouth If in City or Town Middle East Pubnico
3. PRINT NAME OF DECEASED D'entremont, Stillman Mark
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Middle East Pubnico
9. DATE OF BIRTH 10 6, 1887
10. AGE in Years82 Months7 Days23 | 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 Marie Rose D'Entremont
16. NAME of Father Leon D'Entremont
17. BIRTHPLACE Middle West Pubnico
18. NAME of Mother Bibian D'Eon
19. BIRTHPLACE West Pubnico
20. Signature of Informant F. D'Entremont
address M. E. Pubnico, Yar. Co.
Relationship to deceased Son
21. Place of burial Mid. East Pubnico Cemetery
Date of burial June 1st, 1970
22. Undertaker West Pubnico Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 29, 1970
CAUSE OF DEATH
(a) Hypostatic pneumonia
(b) Cerebrovascular accident
(c) Senility
other Cachexia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489088
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