Male Death Registration: Year: 1970 number: 3342
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003342
1. PLACE OF DEATH County of Richmond If in City or Town Pondville
3. PRINT NAME OF DECEASED Boudreau, Jeffrey
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Arichat
9. DATE OF BIRTH 7 29, 1877
10. AGE in Years92 Months4 Days19 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Simon Boudreau
17. BIRTHPLACE Pondville
18. NAME of Mother Victoria Fougere
19. BIRTHPLACE Pondville
20. Signature of Informant Mrs Louis Samson
address Petit De Grat
Relationship to deceased Daughter
21. Place of burial Arichat
Date of burial April 19, 1970
22. Undertaker C A Boucher Funeral Home, Arichat
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 17, 1970
CAUSE OF DEATH
(a) C V A & Pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488652
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