Male Death Registration: Year: 1971 number: 3339
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003339
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Roussy, Andre Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Gaspe, Quebec
9. DATE OF BIRTH 11 18, 1915
10. AGE in Years55 Months5 Days9 | hrs or mins
11. Trade or profession Superintendent
12. Kind of industry Construction Work
13. Date last worked 14. Total years
15. If married name of spouse Rita Racine
16. NAME of Father Gilbert Roussy
17. BIRTHPLACE Quebec
18. NAME of Mother Marie Paradis
19. BIRTHPLACE Quebec
20. Signature of Informant Mrs. Andre J. Roussy
address Maple St., Trenton, Nova Scotia
Relationship to deceased Wife
21. Place of burial Christ the King Cemetery, Trenton, Nova Scotia
Date of burial April 29, 1971
22. Undertaker R. H. Porter Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 27, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495415
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