Male Death Registration: Year: 1970 number: 1006
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001006
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Canadian Forces Hospital, Halifax
3. PRINT NAME OF DECEASED Jardine, Leonard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Saskatchewan
9. DATE OF BIRTH ,
10. AGE in Years42 Months Days | hrs or mins
11. Trade or profession Warrant Officer
12. Kind of industry C.A.F. Stadacona
13. Date last worked 14. Total years 20
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Matilda
19. BIRTHPLACE Saskatchewan
20. Signature of Informant Records
address C.F.B Stadacona
Relationship to deceased
21. Place of burial Moose Jaw, Sask.
Date of burial Jan 7/1970
22. Undertaker R.D Lindsay, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 1, 1970
CAUSE OF DEATH
(a) Cirrhosis
(b) Alcoholism
(c) Liver Failure
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486320
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