Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Simon Amable Fougere death at South River Bourgeois, Richmond County on October 19, 1971
Male Death Registration: Year: 1971 number: 6408
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006408
1. PLACE OF DEATH County of Richmond If in City or Town South River Bourgeois
3. PRINT NAME OF DECEASED Fougere, Simon Amable
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE South River Bourgeois
9. DATE OF BIRTH 12 3, 1892
10. AGE in Years78 Months10 Days16 | 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 Edith Mae Fougere
16. NAME of Father Andrew Fougere
17. BIRTHPLACE River Bourgeois, NS
18. NAME of Mother Barbara Bourque
19. BIRTHPLACE River Bourgeois, NS
20. Signature of Informant John Fougere
address South River Bourgeois, NS
Relationship to deceased Son
21. Place of burial River Bourgeois Roman Catholic Cemetery
Date of burial October 21, 1971
22. Undertaker Alex A. Morrison St Peter's, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 19, 1971
CAUSE OF DEATH
(a) Lobar Pneumonia
(b)
(c)
other Coronary Disease (Angina Pectoris)
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