Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

John Monde Doucette death at Yarmouth, Yarmouth County on July 22, 1970

Male Death Registration: Year: 1970 number: 4494

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004494

1. PLACE OF DEATH   County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yar. Regional Hospital

3. PRINT NAME OF DECEASED Doucette, John Monde

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE Quinan

9. DATE OF BIRTH 2  24, 1894

10. AGE in  Years76  Months4  Days28 | hrs or mins

11. Trade or profession Carpenter

12. Kind of industry

13. Date last worked 1965       14. Total years

15. If married name of spouse Agnes Beatrice

16. NAME of Father John Cyril Doucette

17. BIRTHPLACE Quinan

18. NAME of Mother Catherine Doucette

19. BIRTHPLACE Quinan

20. Signature of Informant D.A. Doucette

      address Springhaven, Yar. Co.

      Relationship to deceased Son

21. Place of burial Quinan, Yar. Co.

      Date of burial July 25, 1970

22. Undertaker Huskilson Funeral Home Yar.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH July 22, 1970

CAUSE OF DEATH

(a) Carcinoma of Lung ([root cause?])

(b) [bronchitis?]

(c) [emphysema?]

other ASD

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489803

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