Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ann Sophie Muise death at Quinan, Yarmouth County on May 2, 1971
Female Death Registration: Year: 1971 number: 3234
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003234
1. PLACE OF DEATH County of Yarmouth If in City or Town Quinan
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Muise, Ann Sophie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Quinan, Yar. County
9. DATE OF BIRTH 8 8, 1876
10. AGE in Years94 Months8 Days24 | hrs or mins
11. Trade or profession At home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Simon Doucette
17. BIRTHPLACE Quinan
18. NAME of Mother Saraphie Doucette
19. BIRTHPLACE Quinan
20. Signature of Informant Michael Doucette
address Quinan, Yarmouth Co.
Relationship to deceased Son (adopted)
21. Place of burial Quinan, Yar. Co.
Date of burial May 4, 1971
22. Undertaker Sweeny's Funeral Home, Yar. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 2, 1971
CAUSE OF DEATH
(a) Cerebral hemorrhage; arteriosclerosis
(b)
(c)
other Coronary insufficiency
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