Department of Commerce STATE OF LOUISIANA
Bureau of the Census
BUREAU OF VITAL STATISTICS State File No. 41
Registration District No. 5502
CERTIFICATE OF DEATH Registrar's No. 12884
Place of Death: Bourg or Bayou Blue, Lafourche [my note: sic] , La.
Name: Adam Etienne CHAUVIN
Sex: Male Color: White Marital Status: Married
Date of Birth: 26 Aug. 1867 Birthplace: Little Caillou, La.
Age at Death: 49 yrs., 7 mos.
Occupation: Farmer
Name of Father: Louis Chauvin, born in La.
Maiden name of Mother: Emelia Malbrough, born in La.
Name of Informant for above information: Charles Niel
MEDICAL CERTIFICATE OF DEATH:
Date of Death: 9 March 1917
Cause of Death: Unknown, found dead
Burial: 29 March 1917 in Bayou Blue Cemetery
Filed: 10 Nov. 1917 by Registrar C.P. Blanchard
He was married in about 1888 to Marguerite Rosena SAVOIE
His Wife:
SLR Vol 5 page 344:
SAVOIE, Marguerite Rosena (Donatien [my note: Joseph Donatien] & Angelique MATERNE) b. 9 Jan. 1871 (Montegut Ch.: v. 1 p. 81)
Her Death Certificate:
STATE OF LOUISIANA
CERTIFICATE OF DEATH STATE FILE NO. 5 - 236
Name: Rose Mae Savoie Chauvin Date of Death: 10 April 1950 at 3:20 p.m.
Sex: Female Color: White Marital Status: Widowed Name of Spouse: Etienne Chauvin
Date of Birth: 9 Jan. 1871 Age at death: 79 yrs., 3 mos., 1 day Place of Birth: Bayou Blue, Louisiana
Occupation: Housewife
Place of Death: Bayou Blue Rte., Rural Houma, Terrebonne Parish, La., USA How long in this location?: Life
Usual Residence: Same as place of death
Name of Father: Dennis Savoie
Maiden Name of Mother: Angelle Matherne
Name of informant for above information: Mrs. George Detiveaux, signed on 11 April 1950
Cause of Death: Chronic Myocarditis - 10 yrs from onset until death
Cardio-vascular Disease and Hypertension - 20 yrs from onset until death
Physician certifies that he attended the deceased from 1930 until 1950 when he last saw her alive.
Burial: 11 April 1950 in the Matherne Cemetery in Bayou Blue, La.
Funeral Director: C.P. Chauvin
Contributor: CELESE BOUDREAUX PETERS (48176864) • [email protected]
View Memorial
Bureau of the Census
BUREAU OF VITAL STATISTICS State File No. 41
Registration District No. 5502
CERTIFICATE OF DEATH Registrar's No. 12884
Place of Death: Bourg or Bayou Blue, Lafourche [my note: sic] , La.
Name: Adam Etienne CHAUVIN
Sex: Male Color: White Marital Status: Married
Date of Birth: 26 Aug. 1867 Birthplace: Little Caillou, La.
Age at Death: 49 yrs., 7 mos.
Occupation: Farmer
Name of Father: Louis Chauvin, born in La.
Maiden name of Mother: Emelia Malbrough, born in La.
Name of Informant for above information: Charles Niel
MEDICAL CERTIFICATE OF DEATH:
Date of Death: 9 March 1917
Cause of Death: Unknown, found dead
Burial: 29 March 1917 in Bayou Blue Cemetery
Filed: 10 Nov. 1917 by Registrar C.P. Blanchard
He was married in about 1888 to Marguerite Rosena SAVOIE
His Wife:
SLR Vol 5 page 344:
SAVOIE, Marguerite Rosena (Donatien [my note: Joseph Donatien] & Angelique MATERNE) b. 9 Jan. 1871 (Montegut Ch.: v. 1 p. 81)
Her Death Certificate:
STATE OF LOUISIANA
CERTIFICATE OF DEATH STATE FILE NO. 5 - 236
Name: Rose Mae Savoie Chauvin Date of Death: 10 April 1950 at 3:20 p.m.
Sex: Female Color: White Marital Status: Widowed Name of Spouse: Etienne Chauvin
Date of Birth: 9 Jan. 1871 Age at death: 79 yrs., 3 mos., 1 day Place of Birth: Bayou Blue, Louisiana
Occupation: Housewife
Place of Death: Bayou Blue Rte., Rural Houma, Terrebonne Parish, La., USA How long in this location?: Life
Usual Residence: Same as place of death
Name of Father: Dennis Savoie
Maiden Name of Mother: Angelle Matherne
Name of informant for above information: Mrs. George Detiveaux, signed on 11 April 1950
Cause of Death: Chronic Myocarditis - 10 yrs from onset until death
Cardio-vascular Disease and Hypertension - 20 yrs from onset until death
Physician certifies that he attended the deceased from 1930 until 1950 when he last saw her alive.
Burial: 11 April 1950 in the Matherne Cemetery in Bayou Blue, La.
Funeral Director: C.P. Chauvin
Contributor: CELESE BOUDREAUX PETERS (48176864) • [email protected]
View Memorial
Department of Commerce STATE OF LOUISIANA
Bureau of the Census
BUREAU OF VITAL STATISTICS State File No. 41
Registration District No. 5502
CERTIFICATE OF DEATH Registrar's No. 12884
Place of Death: Bourg or Bayou Blue, Lafourche [my note: sic] , La.
Name: Adam Etienne CHAUVIN
Sex: Male Color: White Marital Status: Married
Date of Birth: 26 Aug. 1867 Birthplace: Little Caillou, La.
Age at Death: 49 yrs., 7 mos.
Occupation: Farmer
Name of Father: Louis Chauvin, born in La.
Maiden name of Mother: Emelia Malbrough, born in La.
Name of Informant for above information: Charles Niel
MEDICAL CERTIFICATE OF DEATH:
Date of Death: 9 March 1917
Cause of Death: Unknown, found dead
Burial: 29 March 1917 in Bayou Blue Cemetery
Filed: 10 Nov. 1917 by Registrar C.P. Blanchard
He was married in about 1888 to Marguerite Rosena SAVOIE
His Wife:
SLR Vol 5 page 344:
SAVOIE, Marguerite Rosena (Donatien [my note: Joseph Donatien] & Angelique MATERNE) b. 9 Jan. 1871 (Montegut Ch.: v. 1 p. 81)
Her Death Certificate:
STATE OF LOUISIANA
CERTIFICATE OF DEATH STATE FILE NO. 5 - 236
Name: Rose Mae Savoie Chauvin Date of Death: 10 April 1950 at 3:20 p.m.
Sex: Female Color: White Marital Status: Widowed Name of Spouse: Etienne Chauvin
Date of Birth: 9 Jan. 1871 Age at death: 79 yrs., 3 mos., 1 day Place of Birth: Bayou Blue, Louisiana
Occupation: Housewife
Place of Death: Bayou Blue Rte., Rural Houma, Terrebonne Parish, La., USA How long in this location?: Life
Usual Residence: Same as place of death
Name of Father: Dennis Savoie
Maiden Name of Mother: Angelle Matherne
Name of informant for above information: Mrs. George Detiveaux, signed on 11 April 1950
Cause of Death: Chronic Myocarditis - 10 yrs from onset until death
Cardio-vascular Disease and Hypertension - 20 yrs from onset until death
Physician certifies that he attended the deceased from 1930 until 1950 when he last saw her alive.
Burial: 11 April 1950 in the Matherne Cemetery in Bayou Blue, La.
Funeral Director: C.P. Chauvin
Contributor: CELESE BOUDREAUX PETERS (48176864) • [email protected]
View Memorial
Bureau of the Census
BUREAU OF VITAL STATISTICS State File No. 41
Registration District No. 5502
CERTIFICATE OF DEATH Registrar's No. 12884
Place of Death: Bourg or Bayou Blue, Lafourche [my note: sic] , La.
Name: Adam Etienne CHAUVIN
Sex: Male Color: White Marital Status: Married
Date of Birth: 26 Aug. 1867 Birthplace: Little Caillou, La.
Age at Death: 49 yrs., 7 mos.
Occupation: Farmer
Name of Father: Louis Chauvin, born in La.
Maiden name of Mother: Emelia Malbrough, born in La.
Name of Informant for above information: Charles Niel
MEDICAL CERTIFICATE OF DEATH:
Date of Death: 9 March 1917
Cause of Death: Unknown, found dead
Burial: 29 March 1917 in Bayou Blue Cemetery
Filed: 10 Nov. 1917 by Registrar C.P. Blanchard
He was married in about 1888 to Marguerite Rosena SAVOIE
His Wife:
SLR Vol 5 page 344:
SAVOIE, Marguerite Rosena (Donatien [my note: Joseph Donatien] & Angelique MATERNE) b. 9 Jan. 1871 (Montegut Ch.: v. 1 p. 81)
Her Death Certificate:
STATE OF LOUISIANA
CERTIFICATE OF DEATH STATE FILE NO. 5 - 236
Name: Rose Mae Savoie Chauvin Date of Death: 10 April 1950 at 3:20 p.m.
Sex: Female Color: White Marital Status: Widowed Name of Spouse: Etienne Chauvin
Date of Birth: 9 Jan. 1871 Age at death: 79 yrs., 3 mos., 1 day Place of Birth: Bayou Blue, Louisiana
Occupation: Housewife
Place of Death: Bayou Blue Rte., Rural Houma, Terrebonne Parish, La., USA How long in this location?: Life
Usual Residence: Same as place of death
Name of Father: Dennis Savoie
Maiden Name of Mother: Angelle Matherne
Name of informant for above information: Mrs. George Detiveaux, signed on 11 April 1950
Cause of Death: Chronic Myocarditis - 10 yrs from onset until death
Cardio-vascular Disease and Hypertension - 20 yrs from onset until death
Physician certifies that he attended the deceased from 1930 until 1950 when he last saw her alive.
Burial: 11 April 1950 in the Matherne Cemetery in Bayou Blue, La.
Funeral Director: C.P. Chauvin
Contributor: CELESE BOUDREAUX PETERS (48176864) • [email protected]
View Memorial
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