Male Death Registration: Year: 1971 number: 2659
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002659
1. PLACE OF DEATH County of Pictou If in City or Town Westville
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Bourque, Maurice Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 8, 1913
10. AGE in Years57 Months4 Days17 | hrs or mins
11. Trade or profession Retired Miner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph P Bourque
17. BIRTHPLACE Magdalen Islands
18. NAME of Mother Mary Cyr
19. BIRTHPLACE Magdalen Islands
20. Signature of Informant Mrs. Charles Doyle
address Westville, NS
Relationship to deceased Sister
21. Place of burial Holy Name Cemetery, Westville
Date of burial March 27, 1971
22. Undertaker Eagles Funeral Home, Westville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 25, 1971
CAUSE OF DEATH
(a) Probable Coronary Thrombosis or (illegible)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494736
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