Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Emma Hache death at Cheticamp, Inverness County on August 21, 1971
Male Death Registration: Year: 1971 number: 5515
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005515
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Sacred Heart Hospital
3. PRINT NAME OF DECEASED Hache, Emma
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 1 2, 1890
10. AGE in Years81 Months7 Days19 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Hypolite LeFort
17. BIRTHPLACE Inverness County
18. NAME of Mother Josephine Bourgeois
19. BIRTHPLACE Inverness County
20. Signature of Informant Mrs. Clara Belle Gillis
address Belle Marche, NS
Relationship to deceased Daughter
21. Place of burial Cheticamp, NS
Date of burial August 24, 1971
22. Undertaker Louis L. Chiasson & Son, Cheticamp, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 21, 1971
CAUSE OF DEATH
(a) Nephritis & Cardiovascular Renal
(b) Arteriosclerosis
(c)
other
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