Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Raymond George Muise death at East Quinan, Yarmouth County on December 30, 1971

Male Death Registration: Year: 1971 number: 7613

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 007613

1. PLACE OF DEATH   County of Yarmouth If in City or Town East Quinan

3. PRINT NAME OF DECEASED Muise, Raymond George

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

single

8. BIRTHPLACE East Quinan, Yarmouth County

9. DATE OF BIRTH 5  6, 1954

10. AGE in  Years17  Months7  Days25 | hrs or mins

11. Trade or profession Laborer

12. Kind of industry

13. Date last worked Dec. 30, 1971       14. Total years

15. If married name of spouse

16. NAME of Father Raymond John Muise

17. BIRTHPLACE East Quinan

18. NAME of Mother Anne Frances Muise

19. BIRTHPLACE East Quinan

20. Signature of Informant Mrs. Anne Frances Muise

      address East Quinan

      Relationship to deceased Mother

21. Place of burial Quinan

      Date of burial January 3, 1972

22. Undertaker H. M. Huskilson's Funeral Home

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH December 30, 1971

CAUSE OF DEATH

(a) Ruptured femoral Artery - left side, due to gunshot wound

(b)

(c)

other

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Note: Accidentally shot by hunting companion in woods

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499685

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