Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

James Dennis Gouchie death at Amherst, Cumberland County on December 18, 1970

Male Death Registration: Year: 1970 number: 7308

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 007308

1. PLACE OF DEATH   County of Cumberland If in City or Town Amherst

3. PRINT NAME OF DECEASED Gouchie, James Dennis

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

single

8. BIRTHPLACE East Amherst

9. DATE OF BIRTH 3  5, 1891

10. AGE in  Years79  Months9  Days13 | hrs or mins

11. Trade or profession Shoeshine stand

12. Kind of industry

13. Date last worked Oct, 1970       14. Total years life

15. If married name of spouse

16. NAME of Father Herbert Gouchie

17. BIRTHPLACE Amherst

18. NAME of Mother Elizabeth Burke

19. BIRTHPLACE Boston, Massachusetts, USA

20. Signature of Informant Mrs Marjorie Simpson

      address 50 Victoria St, Amherst

      Relationship to deceased Niece

21. Place of burial St Charles Cemetery, Amherst

      Date of burial 21 Dec 1970

22. Undertaker Furlong's Funeral Home Ltd, Amherst

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH December 18, 1970

CAUSE OF DEATH

(a)

(b)

(c)

other

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