Female Death Registration: Year: 1971 number: 5952
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005952
1. PLACE OF DEATH County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St. Ann's Hospital
3. PRINT NAME OF DECEASED Boudreau, Mary Adelphine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE River Bourgeois
9. DATE OF BIRTH 5 15, 1882
10. AGE in Years89 Months4 Days16 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Remi Sylvester Boudreau
17. BIRTHPLACE Petit-de-Grat
18. NAME of Mother Mary Adelphine Samson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant V.R.T. Boudreau
address Box 68 Petit-de-Grat
Relationship to deceased Son
21. Place of burial St. Joseph Cemetery, Petit-de-Grat
Date of burial October 4, 1971
22. Undertaker Gordon Boudreau, Chez Gordon Funeral Home Ltd. Arichat
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 1, 1971
CAUSE OF DEATH
(a) Senility Auricular fibrillation
(b) sub-Capital fracture right hip
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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