Male Death Registration: Year: 1971 number: 1157
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001157
1. PLACE OF DEATH County of Richmond If in City or Town Petit-de-Grat
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Boudreau, Joseph H
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Petit de Grat, Richmond County
9. DATE OF BIRTH 11 6, 1891
10. AGE in Years79 Months1 Days29 | hrs or mins
11. Trade or profession Pentioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Edward Boudreau
17. BIRTHPLACE Petit de Grat, Richmond Co., NS
18. NAME of Mother Harriet Samson
19. BIRTHPLACE Petit de Grat, Richmond Co., NS
20. Signature of Informant Vernie H. Boudreau
address Petit de Grat, Richmond Co., NS
Relationship to deceased Son
21. Place of burial Petit de Grat, Richmond Co., NS
Date of burial 6 January 1971
22. Undertaker C. A. Boucher's Funeral Home, Arichat, Richmond Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 4, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Myocardial Infarction
(c) Cardiovascular Heart Disease
other Obesity
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493235
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