Male Death Registration: Year: 1971 number: 1048
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001048
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yar. Reg. Hosp.
3. PRINT NAME OF DECEASED Amirault, Stanilaus Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Middle West Pubnico, Yar. County
9. DATE OF BIRTH 11 14, 1914
10. AGE in Years56 Months1 Days18 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1969 14. Total years 20
15. If married name of spouse Augustin Amirault
16. NAME of Father Louis Actime Amirault
17. BIRTHPLACE Middle West Pubnico, Yar. Co.
18. NAME of Mother Regina d'Eon
19. BIRTHPLACE Middle West Pubnico
20. Signature of Informant Mrs. Pierre Surette
address Middle West Pubnico, Yar. Co.
Relationship to deceased Daughter
21. Place of burial West Pubnico Cemetery
Date of burial January 4, 1971
22. Undertaker West Pubnico Funeral Ser.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 2, 1971
CAUSE OF DEATH
(a) Acute congestive heart failure
(b) acute pulmonary edema
(c) chronic arteriosclerotic cardiovascular disease
other Portal cirrhosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493126
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