Male Death Registration: Year: 1970 number: 1060
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001060
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Blanchard Fraser Memorial Hospital
3. PRINT NAME OF DECEASED Johnson, Leo Albert
4. Sex
Male
5. Citizenship
British
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Coventry, England
9. DATE OF BIRTH 1 8, 1894
10. AGE in Years75 Months11 Days24 | hrs or mins
11. Trade or profession Medical Orderly
12. Kind of industry Retired
13. Date last worked 14. Total years
15. If married name of spouse Mary Rosalie Muise
16. NAME of Father Francis Johnson
17. BIRTHPLACE England
18. NAME of Mother Elizabeth Johnson(Hayes)
19. BIRTHPLACE England
20. Signature of Informant Elizabeth Bigelow
address 37 Schofield Road, Kentville
Relationship to deceased Daughter
21. Place of burial Holy Cross Cemetery, Kentville
Date of burial January 3, 1970
22. Undertaker John P. Covert
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 1, 1970
CAUSE OF DEATH
(a) Chronic bronchitis
(b) Asthma and emphysema
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486374
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