Male Death Registration: Year: 1971 number: 5731
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005731
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital, Sydney, Cape Breton Co., NS
3. PRINT NAME OF DECEASED Benoit, Elexis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Petit de Grat, Richmond County
9. DATE OF BIRTH 12 14, 1905
10. AGE in Years65 Months7 Days29 | 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 Clem Benoit
17. BIRTHPLACE Petit de Grat, Richmond Co., NS
18. NAME of Mother Therise Ann Fougere
19. BIRTHPLACE West Arichat, Richmond Co., NS
20. Signature of Informant Clem J. Benoit
address Box 102, Petit de Grat, Richmond Co., NS
Relationship to deceased Nephew
21. Place of burial Petit de Grat, Richmond Co., NS
Date of burial 15 August 1971
22. Undertaker C. A. Boucher Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 12, 1971
CAUSE OF DEATH
(a) Intra-abdominal Abscess
(b) Pancreatitis
(c) Possible Carcinoma
other Massive Gastrointestinal Bleeding
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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