Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Marie Evangeline Muise death at Yarmouth, Yarmouth County on October 6, 1971
Female Death Registration: Year: 1971 number: 6061
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006061
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
3. PRINT NAME OF DECEASED Muise, Marie Evangeline
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Quinan, Yarmouth County
9. DATE OF BIRTH 3 19, 1901
10. AGE in Years70 Months6 Days17 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse John Frederick Muise
16. NAME of Father Enos Muise
17. BIRTHPLACE Yarmouth Co.
18. NAME of Mother Matailda Muise
19. BIRTHPLACE Yarmouth Co.
20. Signature of Informant [illegible] Muise
address Port Maitland, Yarmouth Co.
Relationship to deceased Son
21. Place of burial Yarmouth
Date of burial October 9, 1971
22. Undertaker Sweeny's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 6, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b) Atherosclerosis
(c) Pneumonia
other Hypertension
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