Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David Michael Muise death at Onslow Mountain, Colchester County on May 15, 1971
Male Death Registration: Year: 1971 number: 3403
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003403
1. PLACE OF DEATH County of Colchester If in City or Town Onslow Mountain
If death occured in a hospital or institution On public highway
3. PRINT NAME OF DECEASED Muise, David Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 16, 1950
10. AGE in Years21 Months3 Days29 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Joanne
16. NAME of Father Ernest Muise
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary McCormick
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Mary Muise
address Belmont
Relationship to deceased Mother
21. Place of burial Robie St. Cemetery, Truro
Date of burial May 19, 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 15, 1971
CAUSE OF DEATH
(a) Fractured skull (immediate)
(b)
(c)
other Crushed chest Accident: Motor vehicle struck culvert & rolled several times
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