Male Death Registration: Year: 1970 number: 4013
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004013
1. PLACE OF DEATH County of Yarmouth If in City or Town Lower East Pubnico
3. PRINT NAME OF DECEASED Amirault, Henry Ellzee
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Lower East Pubnico
9. DATE OF BIRTH 9 30, 1891
10. AGE in Years78 Months8 Days9 | hrs or mins
11. Trade or profession
12. Kind of industry Fisherman
13. Date last worked 14. Total years
15. If married name of spouse Mary Elanore Amiro
16. NAME of Father Nazaire Amirault
17. BIRTHPLACE Lower East Pubnico
18. NAME of Mother Mary Angelle d'Entremont
19. BIRTHPLACE Middle West Pubnico
20. Signature of Informant Mrs. Henry E. Amirault
address Lower East Pubnico, Yar. Co.
Relationship to deceased Wife
21. Place of burial Middle Pubnico Cemetery
Date of burial June 24, 1970
22. Undertaker West Pubnico Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 21, 1970
CAUSE OF DEATH
(a) Acute congestive heart failure
(b) Chronic arteriosclerotic cardiovascular disease
(c)
other Essential hypotension, senility
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489322
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