Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Lucien Amidee Lacombe death at Amherst, Cumberland County on October 3, 1971

Male Death Registration: Year: 1971 number: 5904

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005904

1. PLACE OF DEATH   County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital

3. PRINT NAME OF DECEASED Lacombe, Lucien Amidee

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

Common Law

8. BIRTHPLACE Montreal, Quebec

9. DATE OF BIRTH 2  5, 1907

10. AGE in  Years64  Months7  Days28 | hrs or mins

11. Trade or profession Shoemaker

12. Kind of industry

13. Date last worked 1970       14. Total years life

15. If married name of spouse Catherine Lacombe

16. NAME of Father Noi Lacombe

17. BIRTHPLACE

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Catherine Lacombe

      address 4 Rambler Street, Amherst, NS

      Relationship to deceased Common Law Wife

21. Place of burial St. Charles Cemetery, Amherst, NS

      Date of burial 6 October 1971

22. Undertaker Furlong's Funeral Home Ltd.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 3, 1971

CAUSE OF DEATH

(a) Carcinoma of Breast

(b) Metastatic Disease

(c)

other

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