Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarisse Degaugue death at New Waterford, Cape Breton County on October 25, 1971
Female Death Registration: Year: 1971 number: 6457
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006457
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
3. PRINT NAME OF DECEASED Degaugue, Clarisse
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Belgian
7. Single, Married
widowed
8. BIRTHPLACE Belgium
9. DATE OF BIRTH 2 9, 1883
10. AGE in Years88 Months8 Days16 | hrs or mins
11. Trade or profession At home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Henry Degaugue
16. NAME of Father Jacque Bruille
17. BIRTHPLACE France
18. NAME of Mother Elizabeth Wan
19. BIRTHPLACE Belgium
20. Signature of Informant George Degaugue
address 76 10th Street, New Waterford, Cape Breton Co., NS
Relationship to deceased Son
21. Place of burial Mt. Carmel Cemetery, New Waterford, NS
Date of burial 28 October 1971
22. Undertaker V. J. McGillivray Funeral Homes Ltd., New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 25, 1971
CAUSE OF DEATH
(a) Cardiovascular Accident
(b) Congestive Heart Failure
(c)
other
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