Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Vital Alexandre d'Entremont death at Lower West Pubnico, Yarmouth County on December 19, 1971
Male Death Registration: Year: 1971 number: 7435
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007435
1. PLACE OF DEATH County of Yarmouth If in City or Town Lower West Pubnico
3. PRINT NAME OF DECEASED d'Entremont, Vital Alexandre
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 28, 1902
10. AGE in Years69 Months4 Days21 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ada d'Entremont
16. NAME of Father Paul d'Entremont
17. BIRTHPLACE Lower West Pubnico, Yar.
18. NAME of Mother Arthenise d'Entremont
19. BIRTHPLACE Lower West Pubnico, Yar. Co.
20. Signature of Informant Mrs. Ada M. d'Entremont
address Lower West Pubnico
Relationship to deceased Wife
21. Place of burial Lower West Pubnico
Date of burial December 21, 1971
22. Undertaker Sweeny
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 19, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) Carcinoma of rectum-colon
(c)
other
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