Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Margaret Bourque death at Yarmouth, Yarmouth County on December 8, 1970
Female Death Registration: Year: 1970 number: 7701
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007701
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Bourque, Mary Margaret
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Scouduc, New Brunswick
9. DATE OF BIRTH 7 20, 1884
10. AGE in Years86 Months4 Days18 | hrs or mins
11. Trade or profession At home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Philippe Bourque
17. BIRTHPLACE New Brunswick
18. NAME of Mother Catherine Doty
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. James Adair
address 6011 Emerson Street, Bladensburg, Maryland, 20710, USA
Relationship to deceased Niece
21. Place of burial Weymouth
Date of burial December 11, 1970
22. Undertaker Weymouth Funeral Home Ltd., Box 24 - Weymouth -
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 8, 1970
CAUSE OF DEATH
(a) Cardiovascular accident
(b)
(c)
other arteriosclerosis
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