Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Justile Boudreau death at Cheticamp, Inverness County on May 23, 1971
Female Death Registration: Year: 1971 number: 3595
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003595
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Sacred Heart Hospital
3. PRINT NAME OF DECEASED Boudreau, Justile
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 6 30, 1898
10. AGE in Years72 Months10 Days23 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Amedee Boudreau
16. NAME of Father Malgoire Poirier
17. BIRTHPLACE Inverness County, NS
18. NAME of Mother Elizabeth LeBlanc
19. BIRTHPLACE Inverness County
20. Signature of Informant Victor S. Boudreau
address 9 - 1011 Corydon Avenue, Winnipeg
Relationship to deceased son
21. Place of burial Cheticamp, NS
Date of burial May 26, 1971
22. Undertaker L. L. Chiasson & Son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 23, 1971
CAUSE OF DEATH
(a) Leukemia
(b)
(c)
other
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