Male Death Registration: Year: 1971 number: 3101
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003101
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 D'eon, Frank Sylvaire
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE West Pubnico, Yar. County Nova Scotia
9. DATE OF BIRTH 6 20, 1890
10. AGE in Years80 Months10 Days3 | hrs or mins
11. Trade or profession Coastal Sea Captain
12. Kind of industry
13. Date last worked 1955 14. Total years 50 yrs
15. If married name of spouse Ida Marie d'Eon
16. NAME of Father Elie d'Eon
17. BIRTHPLACE West Pubnico, Yar. Co.
18. NAME of Mother Marie Monique Bourkue
19. BIRTHPLACE Sluice Point, Yar. Co. NS
20. Signature of Informant Ida M. d'Eon
address West Pubnico, Yar. Co. NS
Relationship to deceased Spouse
21. Place of burial West Pubnico Cemetery, NS
Date of burial April 26, 1971
22. Undertaker West Pubnico Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 24, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Arteriosclerotic Cardiovascular Disease
(c) Diabetes Mellitus
other Senility
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495177
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