Male Death Registration: Year: 1971 number: 4858
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004858
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Doucette, Wilbert Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Hubbard's Point, Yar. County
9. DATE OF BIRTH 7 14, 1910
10. AGE in Years61 Months Days3 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked May '71 14. Total years 40
15. If married name of spouse Catherine
16. NAME of Father George Doucette
17. BIRTHPLACE Hubbard's Point, Yar. Co., NS
18. NAME of Mother Sadie LeBlanc
19. BIRTHPLACE Hubbard's Point, Yar. Co., NS
20. Signature of Informant Donald J. Doucette
address R. R. 2, Box 52, Tusket, NS
Relationship to deceased Son
21. Place of burial Ste Anne du Ruisseau, NS
Date of burial July 20, 1971
22. Undertaker H. M. Huskilson's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 17, 1971
CAUSE OF DEATH
(a) Coronary Artery Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496933
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