Male Death Registration: Year: 1971 number: 4480
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004480
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Boudreau, Baby Boy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Halifax Infirmary
9. DATE OF BIRTH 6 26, 1971
10. AGE in Years Months Days | hrs or 20 mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Len Boudreau
17. BIRTHPLACE Halifax, Nova Scotia
18. NAME of Mother Bonnie Handrahan
19. BIRTHPLACE St. John, NB
20. Signature of Informant Len Boudreau
address Five Island Lake, NS
Relationship to deceased Father
21. Place of burial Given to hospital for research and disposal
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 26, 1971
CAUSE OF DEATH
(a) Gross Fetal Abnormality
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496555
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