Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William A. Broussard death at Arichat, Richmond County on June 30, 1971
Male Death Registration: Year: 1971 number: 4309
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004309
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 Broussard, William A.
4. Sex
Male
5. Citizenship
American
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Cambridge, Mass., USA
9. DATE OF BIRTH 1 8, 1908
10. AGE in Years63 Months5 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William A. Broussard
17. BIRTHPLACE Cambridge, Mass.
18. NAME of Mother Josephine Broussard
19. BIRTHPLACE Cambridge, Mass.
20. Signature of Informant Emily C. Broussard
address 51 Harvy Street, Cambridge, Mass.
Relationship to deceased Sister
21. Place of burial USA
Date of burial July 4, 1971
22. Undertaker C. A. Boucher, Arichat, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 30, 1971
CAUSE OF DEATH
(a) Circulatory Collapse
(b) Pneumonia
(c) Myocardial Insufficiancy
other Cancer of Rectum
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