Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rose Fougere death at Guysborough, Guysborough County on January 3, 1971
Female Death Registration: Year: 1971 number: 1247
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001247
1. PLACE OF DEATH County of Guysborough If in City or Town Guysborough
If death occured in a hospital or institution Guysborough Memorial Hospital
3. PRINT NAME OF DECEASED Fougere, Rose
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Larry's River
9. DATE OF BIRTH 3 1, 1890
10. AGE in Years80 Months10 Days2 | hrs or mins
11. Trade or profession housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse John Walter Fougere
16. NAME of Father Thomas Pellerin
17. BIRTHPLACE Larry's River
18. NAME of Mother Mary Pettipas
19. BIRTHPLACE Larry's River
20. Signature of Informant Mrs. Thomas Fougere
address Larry's River
Relationship to deceased Daughter in Law
21. Place of burial St. Peter, Larry's River
Date of burial January 5, 1971
22. Undertaker Nathan Rhynold, Philip Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 3, 1971
CAUSE OF DEATH
(a) Chronic Bronchitis and Emphysema
(b)
(c)
other Congestive Heart Failure
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