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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