Male Death Registration: Year: 1971 number: 6817
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006817
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, Edward S.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Cape Auget, Richmond County
9. DATE OF BIRTH 7 30, 1904
10. AGE in Years67 Months3 Days24 | hrs or mins
11. Trade or profession Labour
12. Kind of industry
13. Date last worked 12 years prior to death 14. Total years life
15. If married name of spouse
16. NAME of Father Stephen Boudreau
17. BIRTHPLACE Cape Auget, Richmond Co., NS
18. NAME of Mother mARION gURNEY
19. BIRTHPLACE Cape Auget, Richmond Co., NS
20. Signature of Informant Mrs. Margaret Bonin
address Arichat, Richmond Co., NS
Relationship to deceased Neighbour
21. Place of burial Our Lady of Assumption Cemetery, Arichat, Richmond Co., NS
Date of burial 25 November 1971
22. Undertaker G. Boudreau, Chez Gordon Funeral Home Ltd., Arichat, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Cardiovascular Heart Disease
(c) Hypertension
other Myocardial Insufficiency
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498890
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