Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Louis Albert Bourque death at Yarmouth, Yarmouth County on January 11, 1970
Male Death Registration: Year: 1970 number: 1188
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001188
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Bourque, Louis Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Ste Anne du Ruisseau
9. DATE OF BIRTH 10 31, 1893
10. AGE in Years76 Months2 Days11 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked June 1969 14. Total years
15. If married name of spouse Eugenie Bourque
16. NAME of Father John Bourque
17. BIRTHPLACE Ste Anne du Ruisseau
18. NAME of Mother Mary d'Eon
19. BIRTHPLACE West Pubnico
20. Signature of Informant Edward A Vacon
address Ste Anne du Ruisseau
Relationship to deceased Adopted Son
21. Place of burial Ste Anne du Ruisseau
Date of burial January 13, 1970
22. Undertaker Huskilson's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 11, 1970
CAUSE OF DEATH
(a) Widespread bone metastasis
(b) Cancer of prostate
(c)
other Diabetes
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