Male Death Registration: Year: 1970 number: 6569
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006569
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa
3. PRINT NAME OF DECEASED Fougere, Charles Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE River Bourgeois
9. DATE OF BIRTH 9 6, 1890
10. AGE in Years80 Months2 Days4 | 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 Mrs. Louise Fougere
16. NAME of Father Edward Fougere
17. BIRTHPLACE River Bourgeois
18. NAME of Mother Julie Leblanc
19. BIRTHPLACE River Bourgeois
20. Signature of Informant Mrs. Mary Helen Pettigrew
address Cannes
Relationship to deceased Daughter
21. Place of burial R.C. Cemetery, River Bourgeois
Date of burial November 12, 1970
22. Undertaker Alex A. Morrison, PO Box 10, St.Peters
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 10, 1970
CAUSE OF DEATH
(a) Cardiac Failure
(b) Arteriosclerosis
(c) Cardiac Disease
other Chronic Brain Syndrome Fracture Rt. Humerus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491876
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