Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Kenneth Boudreau death at Cheticamp, Inverness County on January 4, 1970

Male Death Registration: Year: 1970 number: 1373

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001373

1. PLACE OF DEATH   County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Sacred Heart Hospital

3. PRINT NAME OF DECEASED Boudreau, Kenneth

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

widowed

8. BIRTHPLACE Inverness County

9. DATE OF BIRTH 12  3, 1888

10. AGE in  Years  Months  Days | 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

16. NAME of Father John Boudreau

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Marie Deveau

19. BIRTHPLACE Inverness County

20. Signature of Informant Mary Boudreau

      address Cheticamp

      Relationship to deceased daughter

21. Place of burial Cheticamp

      Date of burial January 6, 1970

22. Undertaker L. L. Chiasson & Son, Cheticamp

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 4, 1970

CAUSE OF DEATH

(a) Cancer of prostate

(b)

(c)

other Stoke's Adams Syndrome

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