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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