Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Peter Alexander Moulaison death at Victoria Vale, Annapolis County on July 25, 1970
Male Death Registration: Year: 1970 number: 4639
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004639
1. PLACE OF DEATH County of Annapolis If in City or Town Victoria Vale
3. PRINT NAME OF DECEASED Moulaison, Peter Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 10 10, 1934
10. AGE in Years35 Months9 Days15 | hrs or mins
11. Trade or profession Nova Scotia Light & Power
12. Kind of industry
13. Date last worked July 24, 1970 14. Total years 17
15. If married name of spouse Anne Rena Hubbard
16. NAME of Father Peter Elize Moulaison
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ida White
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Rena Moulaison
address Cambridge, Kings Co.
Relationship to deceased Wife
21. Place of burial R.C. Yarmouth
Date of burial July 28, 1970
22. Undertaker Frederick T. Roop Funeral Service, Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 25, 1970
CAUSE OF DEATH
(a) Acute myocardial infarction
(b) Coronary sclerosis
(c)
other Fell into water -- partial drowning
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