Male Death Registration: Year: 1971 number: 3396
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003396
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Hospital
3. PRINT NAME OF DECEASED Muise, Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Cheticamp
9. DATE OF BIRTH 5 11, 1884
10. AGE in Years86 Months11 Days22 | hrs or mins
11. Trade or profession fisherman
12. Kind of industry
13. Date last worked 1950 14. Total years
15. If married name of spouse Annie Le Forte
16. NAME of Father Marcellin Muise
17. BIRTHPLACE Cheticamp
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Greg Aucoin
address 144 Ellsworth Ave, New Waterford
Relationship to deceased daughter
21. Place of burial Mt Carmel Cemetery, New Waterford, NS
Date of burial May 6, 1971
22. Undertaker V J McGillivray Funeral Home Ltd, New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 3, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Arteriosclerotic Degeneration
(c)
other Stroke decubitus ulcer
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495472
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