Male Death Registration: Year: 1971 number: 4394
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004394
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Boudreau, Charles Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE River Bourgeois
9. DATE OF BIRTH 10 12, 1894
10. AGE in Years76 Months8 Days21 | 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 Mrs. Anastasia Boudreau
16. NAME of Father Leander Boudreau
17. BIRTHPLACE River Bourgeois
18. NAME of Mother Eliza LeBlanc
19. BIRTHPLACE River Bourgeois
20. Signature of Informant Mrs. Anastasia Boudreau
address River Bourgeois
Relationship to deceased Wife
21. Place of burial River Bourgeois, R.C. Cemetery
Date of burial July 5, 1971
22. Undertaker Alex A. Morrison, P.O. Box 10, St. Peters
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 3, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Severe Angina
(c) Prostatism
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496469
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