Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

James Walter Surette death at Wedgeport, Yarmouth County on August 23, 1970

Male Death Registration: Year: 1970 number: 5180

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005180

1. PLACE OF DEATH   County of Yarmouth If in City or Town Wedgeport

3. PRINT NAME OF DECEASED Surette, James Walter

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 7  29, 1949

10. AGE in  Years21  Months  Days25 | hrs or mins

11. Trade or profession Fisherman

12. Kind of industry Fishing

13. Date last worked       14. Total years

15. If married name of spouse Florence M. Surette

16. NAME of Father Wallace J. Surette

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Pauline M. Cornu

19. BIRTHPLACE New Brunswick

20. Signature of Informant Mrs. Leonard Doucet

      address Lr. Wedgeport

      Relationship to deceased Sister

21. Place of burial Wedgeport

      Date of burial August 26, 1970

22. Undertaker Sweeney's Funeral Home, Yarmouth

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 23, 1970

CAUSE OF DEATH

(a) Fractured skull

(b)

(c)

other Fracture left femur and left tibia

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490488

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