Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jean Pierre Theriault death at Yarmouth, Yarmouth County on December 15, 1970
Male Death Registration: Year: 1970 number: 7365
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007365
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 Theriault, Jean Pierre
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 16, 1911
10. AGE in Years59 Months2 Days29 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked Nov. 13, 1970 14. Total years 1
15. If married name of spouse Josephine Theriault
16. NAME of Father Eddee Theriault
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emilie Jeddry
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Walter Theriault
address Meteghan
Relationship to deceased Son
21. Place of burial Meteghan Centre
Date of burial Dec. 18, 1970
22. Undertaker Meteghan Funeral Ser. Ltd, Meteghan per: Francis Robichaud
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 15, 1970
CAUSE OF DEATH
(a) asphyxia
(b) Bronchogenic Carcinoma of Lung [right?] lobe
(c)
other
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