Male Death Registration: Year: 1971 number: 4255
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004255
1. PLACE OF DEATH County of Digby If in City or Town New Edinburgh
If death occured in a hospital or institution Main Street, New Edinburgh
3. PRINT NAME OF DECEASED Doucet, William Adolph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE New Edinburgh
9. DATE OF BIRTH 10 27, 1879
10. AGE in Years91 Months7 Days22 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Mande Doucet
17. BIRTHPLACE NS
18. NAME of Mother Emilie Belliveau
19. BIRTHPLACE NS
20. Signature of Informant Chester Doucet
address R.R.#1 Weymouth
Relationship to deceased Son
21. Place of burial St. Bernard
Date of burial Jun 21, 1971
22. Undertaker Weymouth Funeral Home Ltd., Weymouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 18, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496330
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