Male Death Registration: Year: 1971 number: 3296
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003296
1. PLACE OF DEATH County of Cape Breton If in City or Town Gardiner Mines
If death occured in a hospital or institution St Joseph's Hospital, Glace Bay (DOA)
3. PRINT NAME OF DECEASED Deveaux, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Reserve Mines
9. DATE OF BIRTH 3 5, 1911
10. AGE in Years60 Months1 Days27 | hrs or mins
11. Trade or profession War Veteran
12. Kind of industry Pensioned
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Nicholas Deveaux
17. BIRTHPLACE Cheticamp, NS
18. NAME of Mother Felicite Bourgeois
19. BIRTHPLACE Cheticamp, NS
20. Signature of Informant N Lenny J Deveaux
address Main St Reserve Mines
Relationship to deceased brother
21. Place of burial St Joseph's Glace Bay, NS
Date of burial May 5, 1971
22. Undertaker V J McGillivray Funeral Homes Limited, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 2, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other Chronic Alcoholism
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495372
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