Male Death Registration: Year: 1970 number: 4608
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004608
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Surette, Jerome Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Pinkney's Point
9. DATE OF BIRTH 12 5, 1887
10. AGE in Years82 Months7 Days20 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1959 14. Total years
15. If married name of spouse Madeline Marie Claremont
16. NAME of Father Doctrove Surette
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Euphemie Cottreau
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Lindsay F. Surette
address Pinkney's Point
Relationship to deceased Son
21. Place of burial Pinkney's Point
Date of burial July 28, 1970
22. Undertaker H. M. Huskilson Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 25, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) C.V.A.-LVF
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489917
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