Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Clara Bourque death at South River Bourgeois, Richmond County on January 16, 1971
Female Death Registration: Year: 1971 number: 1390
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001390
1. PLACE OF DEATH County of Richmond If in City or Town South River Bourgeois
3. PRINT NAME OF DECEASED Bourque, Mary Clara
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 24, 1909
10. AGE in Years61 Months2 Days23 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked November 1969 14. Total years 40
15. If married name of spouse Joseph Henry Bourque
16. NAME of Father Remi Fougere
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Richard
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Henry J. Bourque
address South River Bourgeois
Relationship to deceased Husband
21. Place of burial River Bourgeois
Date of burial January 19, 1971
22. Undertaker Alex A. Moneson, St. Peters
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1971
CAUSE OF DEATH
(a) Cancer of the Liver
(b)
(c)
other
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