Male Death Registration: Year: 1971 number: 4864
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004864
1. PLACE OF DEATH County of Yarmouth If in City or Town Strawberry Island
If death occured in a hospital or institution Near Strawberry Island
3. PRINT NAME OF DECEASED Boudreau, Charles Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Wedgeport
9. DATE OF BIRTH 5 20, 1951
10. AGE in Years20 Months2 Days16 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked Aug 5/71 14. Total years 1 yr
15. If married name of spouse
16. NAME of Father Roderick Boudreau
17. BIRTHPLACE Wedgeport, NS
18. NAME of Mother Florence LeBlanc
19. BIRTHPLACE Abrams River, NS
20. Signature of Informant Florence Boudreau
address Wedgeport, Yar. Co. NS
Relationship to deceased Mother
21. Place of burial Wedgeport, NS
Date of burial August 9, 1971
22. Undertaker H.M. Huskilson Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 5, 1971
CAUSE OF DEATH
(a) Asphyxia
(b) Pulmonary edema
(c) Drowning
other Accident: fell from small boat while raking Irish Moss
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496939
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