Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Willis Demone death at First Peninsula, Lunenburg County on September 4, 1971
Male Death Registration: Year: 1971 number: 5534
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005534
1. PLACE OF DEATH County of Lunenburg If in City or Town First Peninsula
If death occured in a hospital or institution At home, First Peninsula, NS
3. PRINT NAME OF DECEASED Demone, Willis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Lunenburg County
9. DATE OF BIRTH 9 12, 1881
10. AGE in Years89 Months11 Days23 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 1960 14. Total years 60 years
15. If married name of spouse Deceased
16. NAME of Father George DeMone
17. BIRTHPLACE Lunenburg Co.
18. NAME of Mother Adelaide Langille
19. BIRTHPLACE Lunenburg Co.
20. Signature of Informant Harold DeMone
address First Peninsula, NS
Relationship to deceased Son
21. Place of burial Lunenburg, NS
Date of burial September 7th, 1971
22. Undertaker Dana L. Sweeny, Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 4, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Myocardial ischemia
(c) Arteriosclerotic Cerebrovascular disease
other
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