Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anne Caroline Doucette death at 79 Main St., Yarmouth, Yarmouth County on September 30, 1970
Female Death Registration: Year: 1970 number: 5947
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005947
1. PLACE OF DEATH County of Yarmouth If in City or Town 79 Main St., Yarmouth
3. PRINT NAME OF DECEASED Doucette, Anne Caroline
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Eel Brook
9. DATE OF BIRTH 8 13, 1875
10. AGE in Years95 Months1 Days17 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1964 14. Total years 48
15. If married name of spouse John Rene Doucette (dec'd)
16. NAME of Father John Cyril Muise
17. BIRTHPLACE Quinan
18. NAME of Mother Marie Madelene Muise
19. BIRTHPLACE Eel Brook
20. Signature of Informant Mrs. Pauline Blades
address Sand Beach, Yar. Co.
Relationship to deceased Granddaughter
21. Place of burial Surette Island
Date of burial Oct. 2, 1970
22. Undertaker H.M. Huskilson Funeral Home, Albert St. Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 30, 1970
CAUSE OF DEATH
(a) ASHD
(b)
(c)
other Senility
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