Male Death Registration: Year: 1971 number: 4209
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004209
1. PLACE OF DEATH County of Yarmouth If in City or Town Surettes Island
3. PRINT NAME OF DECEASED Surette, Neree Alexis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Surette's Island, Yar. County
9. DATE OF BIRTH 8 31, 1906
10. AGE in Years64 Months9 Days24 | hrs or mins
11. Trade or profession Owner
12. Kind of industry Grocery Store
13. Date last worked 14. Total years
15. If married name of spouse Sadie Surette
16. NAME of Father Maunde Surette
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Beverly LeBlanc
address Surette's Island, Yar. Co. NS
Relationship to deceased Daughter
21. Place of burial Surette's Island, Yar. Co., NS
Date of burial June 26, 1971
22. Undertaker Sweeney's Funeral Home, Yar. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 24, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b) Arteriosclerosis
(c) Duodenal ulcer
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496284
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