Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

William Henry Muise death at Yarmouth, Yarmouth County on April 16, 1971

Male Death Registration: Year: 1971 number: 3096

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003096

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, William Henry

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE Yarmouth

9. DATE OF BIRTH 11  28, 1886

10. AGE in  Years84  Months4  Days19 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Laborer

13. Date last worked       14. Total years

15. If married name of spouse Mrs. William H. Muise

16. NAME of Father Peter Muise

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Martha Roach

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Fred Muise

      address 16 Regent St., Yar.

      Relationship to deceased Son

21. Place of burial Yarmouth

      Date of burial April 20, 1971

22. Undertaker Sweeny's Funeral Home, Yar. NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH April 16, 1971

CAUSE OF DEATH

(a) Arteriosclerotic heart disease failure

(b) Arteriosclerotic heart

(c) Bronchitis

other Emphysema; Uremia

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495172

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