Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

John B. LeJeune death at Arichat, Richmond County on July 13, 1971

Male Death Registration: Year: 1971 number: 4692

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004692

1. PLACE OF DEATH   County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St. Ann Hospital, Arichat, Richmond Co., NS

3. PRINT NAME OF DECEASED LeJeune, John B.

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

single

8. BIRTHPLACE West Arichat

9. DATE OF BIRTH 6  22, 1879

10. AGE in  Years92  Months  Days21 | 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

16. NAME of Father Abram LeJeune

17. BIRTHPLACE West Arichat, Rich. Co., NS

18. NAME of Mother Marie Boudreau

19. BIRTHPLACE West Arichat, Rich. Co., NS

20. Signature of Informant Albert T. Forgeron

      address Box 376, West Arichat

      Relationship to deceased Nephew

21. Place of burial West Arichat, NS

      Date of burial July 15, 1971

22. Undertaker C. A. Boucher Funeral Home, Arichat, CB

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH July 13, 1971

CAUSE OF DEATH

(a) Acute Pulmonary Oedema

(b) Congestive Cardiac Failure

(c)

other Senility

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496767

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