Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alfred Semion d'Entremont death at Yarmouth, Yarmouth County on January 6, 1971
Male Death Registration: Year: 1971 number: 1166
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001166
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, Alfred Semion
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
french
7. Single, Married
married
8. BIRTHPLACE Lower West Pubnico, Yar. County
9. DATE OF BIRTH 7 23, 1895
10. AGE in Years75 Months5 Days14 | hrs or mins
11. Trade or profession retired
12. Kind of industry road foreman
13. Date last worked 1955 14. Total years 20 years
15. If married name of spouse Marguerite d'Entremont
16. NAME of Father Joseph Elie d'Entremont
17. BIRTHPLACE Lower West Pubnico, Yar. Co.
18. NAME of Mother Mary C. d'Entremont
19. BIRTHPLACE West Pubnico, Yar. Co.
20. Signature of Informant Alphonse d'Entremont
address Lower West Pubnico, Yar. Co.
Relationship to deceased son
21. Place of burial West Pubnico Funeral
Date of burial January 8, 1971
22. Undertaker West Pubnico Funeral Ser.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 6, 1971
CAUSE OF DEATH
(a) acute pulmonary embolism
(b) acute hemorrhagic pancreatitis
(c) arteriosclerotic cardiovascular disease
other senility
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