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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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