Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Desire Muise death at Raynardton, Yarmouth County on June 19, 1971
Male Death Registration: Year: 1971 number: 4074
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004074
1. PLACE OF DEATH County of Yarmouth If in City or Town Raynardton
If death occured in a hospital or institution Lake Vaughn
3. PRINT NAME OF DECEASED Muise, John Desire
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Springhaven
9. DATE OF BIRTH 3 24, 1914
10. AGE in Years57 Months2 Days25 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked June 19/71 14. Total years
15. If married name of spouse Regina Muise
16. NAME of Father Simon Muise
17. BIRTHPLACE Springhaven
18. NAME of Mother Rose Doucet
19. BIRTHPLACE
20. Signature of Informant Joan Muise
address Tusket, Yar. Co.
Relationship to deceased Daughter
21. Place of burial Ste Anne du Ruisseau
Date of burial June 23, 1971
22. Undertaker H. M. Huskilson's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 19, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident: Boat upset while fishing
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