Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Arsene Bourgeois death at Cheticamp, Inverness County on December 22, 1971

Male Death Registration: Year: 1971 number: 7694

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 007694

1. PLACE OF DEATH   County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Sacred Heart Hospital

3. PRINT NAME OF DECEASED Bourgeois, Arsene

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

single

8. BIRTHPLACE Cheticamp

9. DATE OF BIRTH 1  23, 1885

10. AGE in  Years86  Months10  Days29 | 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

16. NAME of Father Jean Bourgeois

17. BIRTHPLACE Cheticamp

18. NAME of Mother Suzanne Deveau

19. BIRTHPLACE St. Joseph du Moine

20. Signature of Informant Gloria LeBlanc R.N.

      address Belle Cote

      Relationship to deceased

21. Place of burial Cheticamp

      Date of burial December 24, 1971

22. Undertaker Louis L. Chiasson and Son, Cheticamp

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH December 22, 1971

CAUSE OF DEATH

(a) Cardio Renal Vasculor

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499766

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