Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Charles Peter Boudreau death at Sydney, Cape Breton County on July 3, 1971

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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