Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Alfred Muise death at Yarmouth, Yarmouth County on November 11, 1970

Male Death Registration: Year: 1970 number: 6637

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006637

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, Alfred

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE Hubbard's Point

9. DATE OF BIRTH 11  25, 1883

10. AGE in  Years86  Months11  Days17 | hrs or mins

11. Trade or profession Railroad Man

12. Kind of industry

13. Date last worked 1945       14. Total years 26

15. If married name of spouse Rose Aime Muise

16. NAME of Father  

17. BIRTHPLACE

18. NAME of Mother Theotise LeBlanc

19. BIRTHPLACE So. Belleville

20. Signature of Informant Mrs. Rose Aime Muise

      address Hubbard's Point, Yar. Co

      Relationship to deceased Wife

21. Place of burial Ste Anne du Ruisseau

      Date of burial Nov. 14, 1970

22. Undertaker H.M. Huskilson's Funeral Home Albert Street Box 284 Yarmouth

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH November 11, 1970

CAUSE OF DEATH

(a) renal failure

(b)

(c)

other Prostate

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