Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Robert Muise death at Yarmouth, Yarmouth County on April 29, 1971
Male Death Registration: Year: 1971 number: 3230
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003230
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 Muise, John Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Quinan
9. DATE OF BIRTH 6 22, 1890
10. AGE in Years80 Months10 Days7 | hrs or mins
11. Trade or profession Dynamite Man
12. Kind of industry
13. Date last worked April 29/71 14. Total years
15. If married name of spouse Clara Muise
16. NAME of Father Jean R. Muise
17. BIRTHPLACE Quinan
18. NAME of Mother Julia Muise
19. BIRTHPLACE Quinan
20. Signature of Informant Leo Muise
address No. 2 Murphy Ave. Apt 14, Yarmouth N.S.
Relationship to deceased Brother
21. Place of burial Our Lady of Calvary, Yarmouth
Date of burial May 1, 1971
22. Undertaker H. M. Huskilson's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 29, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b) Bronchitis
(c)
other Hypertension
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