Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Emery Mark Amirault death at Dayton, Yarmouth County on September 26, 1970
Male Death Registration: Year: 1970 number: 5821
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005821
1. PLACE OF DEATH County of Yarmouth If in City or Town Dayton
If death occured in a hospital or institution Villa St-Joseph
3. PRINT NAME OF DECEASED Amirault, Emery Mark
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 6, 1886
10. AGE in Years84 Months1 Days20 | hrs or mins
11. Trade or profession Labor
12. Kind of industry
13. Date last worked 1940 14. Total years Life
15. If married name of spouse
16. NAME of Father Monde Amirault
17. BIRTHPLACE Middle East Pubnico
18. NAME of Mother Therese d'Entremont
19. BIRTHPLACE Middle West Pubnico
20. Signature of Informant Mrs. Charles A. LeBlanc
address Lower East Pubnico
Relationship to deceased Niece
21. Place of burial Middle East Pubnico Cemetery
Date of burial September 28, 1970
22. Undertaker West Pubnico Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 26, 1970
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) General arteriosclerosis
(c)
other Blindness
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