Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harry Blake Decoursey death at Yarmouth, Yarmouth County on April 9, 1971
Male Death Registration: Year: 1971 number: 2827
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002827
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 Decoursey, Harry Blake
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Yarmouth Regional Hospital
9. DATE OF BIRTH 4 9, 1971
10. AGE in Years Months Days | 1 hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Donald Decoursey
17. BIRTHPLACE Yarmouth, NS
18. NAME of Mother Anna Daurie
19. BIRTHPLACE Yarmouth, NS
20. Signature of Informant Donald A. DeCoursey
address Tusket
Relationship to deceased Father
21. Place of burial Ste Anne de Ruisseau, Yarmouth Co. NS
Date of burial April 12, 1971
22. Undertaker H.M. Huskilson's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 9, 1971
CAUSE OF DEATH
(a) Premature
(b)
(c)
other
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