Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Charles Edward Fougere death at Sydney, Cape Breton County on November 10, 1970

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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