Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Jean Bourgeois death at Cheticamp, Inverness County on May 23, 1970

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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