Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Patrick John Muise death at Yarmouth, Yarmouth County on February 11, 1971
Male Death Registration: Year: 1971 number: 1941
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001941
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Muise, Patrick John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 2 21, 1890
10. AGE in Years80 Months11 Days21 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Patrick Muise
17. BIRTHPLACE Yarmouth
18. NAME of Mother Elizabeth Clements
19. BIRTHPLACE Ambram's River
20. Signature of Informant Joseph Cline Goodwin
address 22 William St., Yarmouth
Relationship to deceased Nephew
21. Place of burial Yarmouth
Date of burial February 15, 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 11, 1971
CAUSE OF DEATH
(a) Respiratory failure
(b) Emphysema
(c)
other
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