Male Death Registration: Year: 1970 number: 6631
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006631
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yar. Regional Hospital
3. PRINT NAME OF DECEASED Muise, Henrie Alvinie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Quinan
9. DATE OF BIRTH 2 4, 1901
10. AGE in Years69 Months9 Days | hrs or mins
11. Trade or profession Mason
12. Kind of industry
13. Date last worked Oct., 1970 14. Total years 48
15. If married name of spouse Emilie Anne Muise
16. NAME of Father Reggie Pelton
17. BIRTHPLACE Yarmouth
18. NAME of Mother Fannie Muise
19. BIRTHPLACE Quinan
20. Signature of Informant Mrs. Emilie A Muise
address So. Quinan, Yar. Co.
Relationship to deceased Wife
21. Place of burial Ste Anne du Ruisseau
Date of burial Nov. 7, 1970
22. Undertaker H.M. Huskilson's Funeral Home Albert Street, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1970
CAUSE OF DEATH
(a) Encephalopathy
(b) Hypertensive Failure
(c)
other Hypostatic Pneumonia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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