Male Death Registration: Year: 1970 number: 1745
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001745
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital, Sydney Mines
3. PRINT NAME OF DECEASED Fougere, Elias
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 26, 1873
10. AGE in Years96 Months3 Days21 | hrs or mins
11. Trade or profession Retired Miner
12. Kind of industry Coal Mine
13. Date last worked Aug 1954 14. Total years 50
15. If married name of spouse
16. NAME of Father Dominic Fougere
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Phiolmema Deveaux
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John Fraser
address 24 Pitt St Sydney Mines
Relationship to deceased son
21. Place of burial Bras d'Or
Date of burial February 19, 1970
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 16, 1970
CAUSE OF DEATH
(a) Cardiac Arrest
(b) Pneumonia
(c) ASHD
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487059
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