Male Death Registration: Year: 1970 number: 1970
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001970
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Malcolm, Leonard Ferman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Port Malcolm
9. DATE OF BIRTH 12 20, 1897
10. AGE in Years72 Months1 Days16 | hrs or mins
11. Trade or profession Store keeper (retired)
12. Kind of industry
13. Date last worked 1955 14. Total years 30
15. If married name of spouse Sophie (last name not recorded)
16. NAME of Father Alexander Malcolm
17. BIRTHPLACE Port Malcolm, Richmond
18. NAME of Mother Mary LeBlanc
19. BIRTHPLACE Arichat
20. Signature of Informant Albert Lynch
address Port Malcolm, Richmond
Relationship to deceased Grandson-in-law
21. Place of burial Lower River, Richmond
Date of burial February 16, 1970
22. Undertaker Rod MacDonald Funeral Home, Port Hawkesbury,
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 16, 1970
CAUSE OF DEATH
(a) AC(?) congestive cardiac failure
(b) chronic arteriosclerotic hear disease
(c)
other Diabetes mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487284
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