Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Henrie Alvinie Muise death at Yarmouth, Yarmouth County on November 4, 1970

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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