Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alexander J. Mombourquette death at Sydney, Cape Breton County on December 22, 1970
Male Death Registration: Year: 1970 number: 7430
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007430
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Mombourquette, Alexander J.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE West L'Ardoise
9. DATE OF BIRTH 11 28, 1891
10. AGE in Years79 Months0 Days24 | hrs or mins
11. Trade or profession Retired Printer
12. Kind of industry
13. Date last worked December 31, 1961 14. Total years 50
15. If married name of spouse
16. NAME of Father Jeffrey Mombourquette
17. BIRTHPLACE West L'Ardoise
18. NAME of Mother Judith Mombourquette
19. BIRTHPLACE West L'Ardoise
20. Signature of Informant Ernest Mombourquette
address Rockdale
Relationship to deceased Son
21. Place of burial Roman Catholic Cemetery, L'Ardoise
Date of burial December 24, 1970
22. Undertaker Alex A. Morrison
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 22, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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