Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Muise death at Sydney, Cape Breton County on January 21, 1971
Male Death Registration: Year: 1971 number: 1446
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001446
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED Muise, Clarence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 11 21, 1922
10. AGE in Years48 Months2 Days0 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mary Ellen
16. NAME of Father Hugh Muise
17. BIRTHPLACE Cape Breton
18. NAME of Mother Amelia Cormier
19. BIRTHPLACE Cape Breton
20. Signature of Informant Nelson Muise
address 143 Cornishtown Road, Sydney
Relationship to deceased Son
21. Place of burial Resurrection Cemetery, Sydney Forks
Date of burial January 24, 1971
22. Undertaker T.W. Curry Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 21, 1971
CAUSE OF DEATH
(a) Coronary Infarction
(b)
(c)
other
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