Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel Louis Surette death at Port Wade, Annapolis County on December 23, 1971
Male Death Registration: Year: 1971 number: 7726
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007726
1. PLACE OF DEATH County of Annapolis If in City or Town Port Wade
3. PRINT NAME OF DECEASED Surette, Daniel Louis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 6 2, 1945
10. AGE in Years26 Months6 Days21 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Sylvia Surette
16. NAME of Father Arthur Surette
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Colette Thimot
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Sylvia Surette
address Eel Brook, Yarmouth Co.
Relationship to deceased Wife
21. Place of burial Eel Brook, Yar. Co.
Date of burial December 27, 1971
22. Undertaker Sweeny's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 23, 1971
CAUSE OF DEATH
(a) Accidental asphyxiation
(b)
(c)
other Accident - asphyxiation - stove in trailer
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