Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Allan Antoine Surette death at Lower Eel Brook, Yarmouth County on September 8, 1970
Male Death Registration: Year: 1970 number: 6094
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006094
1. PLACE OF DEATH County of Yarmouth If in City or Town Lower Eel Brook
3. PRINT NAME OF DECEASED Surette, Allan Antoine
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Lower Eel Brook
9. DATE OF BIRTH 12 25, 1939
10. AGE in Years30 Months8 Days14 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked September 8, 1970 14. Total years 10
15. If married name of spouse
16. NAME of Father Marc Orel Surette
17. BIRTHPLACE Lower Eel Brook
18. NAME of Mother Carolyn Marie Dorothy Bourque
19. BIRTHPLACE Sluice Point
20. Signature of Informant Joseph Vernon Surette
address 21 Parker St., Saugus, Massachusetts, USA
Relationship to deceased Brother
21. Place of burial Ste Anne du Ruisseau
Date of burial September 11, 1970
22. Undertaker Huskilson's Funeral Home, Albert St., Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 8, 1970
CAUSE OF DEATH
(a) Asphyxia
(b) Electrocution
(c)
other
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