Male Death Registration: Year: 1971 number: 5005
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005005
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Bowen, David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Antigonish
9. DATE OF BIRTH 8 8, 1971
10. AGE in Years Months Days | 1 hrs or 21 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 James Matthew Bowen
17. BIRTHPLACE Arichat, NS
18. NAME of Mother Joan Mary Fougere
19. BIRTHPLACE Petit de Grat
20. Signature of Informant Mrs. James Bowen
address Boudreauville, NS.
Relationship to deceased Mother
21. Place of burial Petit de Grat. NS.
Date of burial Aug 9, 1971
22. Undertaker James M. Bowen, Boudreauville, Rich. Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 8, 1971
CAUSE OF DEATH
(a) Prematurity
(b) 26 wk Pregnancy
(c) Twin # 2
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497079
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