Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Simon Peter Theriault death at East Ferry, Digby County on June 4, 1971
Male Death Registration: Year: 1971 number: 3780
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003780
1. PLACE OF DEATH County of Digby If in City or Town East Ferry
3. PRINT NAME OF DECEASED Theriault, Simon Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE East Ferry
9. DATE OF BIRTH 7 29, 1885
10. AGE in Years85 Months10 Days6 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Sea captain, fishing industry
13. Date last worked 14. Total years
15. If married name of spouse Nora Rose
16. NAME of Father Cutler Theriault
17. BIRTHPLACE East Ferry
18. NAME of Mother Eliza Comeau
19. BIRTHPLACE Marshalltown
20. Signature of Informant Nora Theriault
address East Ferry
Relationship to deceased Wife
21. Place of burial East Ferry
Date of burial June 6, 1971
22. Undertaker Jayne's Funeral Home Ltd, Digby, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 4, 1971
CAUSE OF DEATH
(a) Uremia
(b) Cardiovascular collapse
(c) Arteriosclerosis
other
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