Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Edward Decoste death at D'Escousse, Richmond County on March 20, 1971
Male Death Registration: Year: 1971 number: 2572
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002572
1. PLACE OF DEATH County of Richmond If in City or Town D'Escousse
3. PRINT NAME OF DECEASED Decoste, Charles Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Arichat
9. DATE OF BIRTH 6 30, 1910
10. AGE in Years60 Months8 Days20 | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Greta DeCoste
16. NAME of Father Charles DeCoste
17. BIRTHPLACE Arichat, Rich. Co.
18. NAME of Mother Jean Boudreau
19. BIRTHPLACE Arichat, Rich. Co.
20. Signature of Informant Greta DeCoste
address Arichat, Rich. Co
Relationship to deceased Wife
21. Place of burial Arichat
Date of burial March 22, 1971
22. Undertaker C.A. Boucher's Funeral Home, Arichat, Rich. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 20, 1971
CAUSE OF DEATH
(a) Fracture skull, cervical spine
(b)
(c)
other deep laceration neck
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