Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
George Muise death at Yarmouth, Yarmouth County on September 14, 1971
Male Death Registration: Year: 1971 number: 5668
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005668
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
3. PRINT NAME OF DECEASED Muise, George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 7 6, 1898
10. AGE in Years73 Months2 Days8 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Cosmos Mills
13. Date last worked 1963 14. Total years 25
15. If married name of spouse
16. NAME of Father John C. Muise
17. BIRTHPLACE Surette's Island, Yar. Co.
18. NAME of Mother Mary M. Surette
19. BIRTHPLACE Surette's Island, Yar. Co.
20. Signature of Informant William H. Muise
address Charlestown, Mass., USA
Relationship to deceased Brother
21. Place of burial Yarmouth
Date of burial September 17, 1971
22. Undertaker Sweeny's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 14, 1971
CAUSE OF DEATH
(a) Respiratory failure
(b) Metastasis from lungs
(c) __________? Carcinoma
other Bilateral hernia
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