Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Vernon Jean Doucette death at Halifax, Halifax County on May 27, 1971
Male Death Registration: Year: 1971 number: 3542
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003542
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Doucette, Vernon Jean
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Lr. Wedgeport
9. DATE OF BIRTH 3 23, 1925
10. AGE in Years46 Months2 Days4 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked Jan/71 14. Total years
15. If married name of spouse Cecilia Doucette
16. NAME of Father James A. Doucette
17. BIRTHPLACE Wedgeport, NS
18. NAME of Mother Lucie Surette
19. BIRTHPLACE Wedgeport, NS
20. Signature of Informant Mrs. Cecilia Doucette
address Upper Wedgeport, NS
Relationship to deceased Wife
21. Place of burial Wedgeport, NS
Date of burial May 29, 1971
22. Undertaker H. M. Huskilsons Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 27, 1971
CAUSE OF DEATH
(a) Malignant Lymphoma
(b)
(c)
other Bronchopneumonia
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