Male Death Registration: Year: 1970 number: 3871
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003871
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
3. PRINT NAME OF DECEASED Bourgeois, Jean
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 5 14, 1913
10. AGE in Years57 Months0 Days9 | hrs or mins
11. Trade or profession Labor
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Antoine Bourgeois
17. BIRTHPLACE Inverness County
18. NAME of Mother Rose LeBlanc
19. BIRTHPLACE Inverness County
20. Signature of Informant Angus Bourgeois
address Cheticamp
Relationship to deceased Brother
21. Place of burial Cheticamp
Date of burial May 25 1970
22. Undertaker L. L. Chiasson & Son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 23, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Ba (?) Heart
(c) Previous Attack of Coronary
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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