Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hycient Bourque death at Arichat, Richmond County on May 4, 1971
Male Death Registration: Year: 1971 number: 3624
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003624
1. PLACE OF DEATH County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St. Ann Hospital
3. PRINT NAME OF DECEASED Bourque, Hycient
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE River Bourgeois, Rich. County
9. DATE OF BIRTH 6 6, 1877
10. AGE in Years93 Months10 Days28 | hrs or mins
11. Trade or profession Pensioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mary Bourque
16. NAME of Father Amable Bourque
17. BIRTHPLACE River Bourgeois, Rich. Co., NS
18. NAME of Mother Catrine Landry
19. BIRTHPLACE River Bourgeois, Rich. Co., NS
20. Signature of Informant Mary Bourque
address West Arichat, Rich. Co., NS
Relationship to deceased Wife
21. Place of burial West Arichat
Date of burial May 6, 1971
22. Undertaker C. Boucher, Arichat, NS (crossed out)
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 4, 1971
CAUSE OF DEATH
(a) Myocardial Insufficiency
(b) Coronary Insufficiency
(c)
other Pneumonia
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