Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anslem Raymond d'Entremont death at Yarmouth, Yarmouth County on November 21, 1970
Male Death Registration: Year: 1970 number: 6895
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006895
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED d'Entremont, Anslem Raymond
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE West Pubnico
9. DATE OF BIRTH 5 26, 1872
10. AGE in Years98 Months5 Days26 | hrs or mins
11. Trade or profession
12. Kind of industry Fisherman
13. Date last worked 14. Total years
15. If married name of spouse Mary E. Deveau
16. NAME of Father Guillaume d'Entremont
17. BIRTHPLACE West Pubnico
18. NAME of Mother Mary C. Amirault
19. BIRTHPLACE West Pubnico
20. Signature of Informant Elie J. d'Entremont
address West Pubnico, Yar. Co.
Relationship to deceased Uncle
21. Place of burial West Pubnico Cemetery
Date of burial Nov. 23, 1970
22. Undertaker West Pubnico Funeral Ser.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 21, 1970
CAUSE OF DEATH
(a) Terminal pneumonia
(b) Cerebral vascular accident
(c) Arteriosclerosis
other Senility; cachexia
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