Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Jacob Boudreau death at Yarmouth, Yarmouth County on March 15, 1971
Male Death Registration: Year: 1971 number: 2821
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002821
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Boudreau, Charles Jacob
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 9 10, 1904
10. AGE in Years66 Months6 Days5 | hrs or mins
11. Trade or profession laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Ambrose Boudreau
17. BIRTHPLACE Meteghan, NS
18. NAME of Mother Margaret Muise
19. BIRTHPLACE Yarmouth, NS
20. Signature of Informant Mrs Florence McBride
address 47 Water St. Yarmouth, NS
Relationship to deceased housekeeper
21. Place of burial Yarmouth, NS
Date of burial March 19, 1971
22. Undertaker Sweeny Funeral Home, Yar. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 15, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) atrial fibrillation
(c)
other
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