Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Leo Albert Roberts death at Antigonish, Antigonish County on May 14, 1970
Male Death Registration: Year: 1970 number: 3441
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003441
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 Roberts, Leo Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Trenton
9. DATE OF BIRTH 4 8, 1895
10. AGE in Years75 Months1 Days7 | hrs or mins
11. Trade or profession Manager retired
12. Kind of industry Co-op Store
13. Date last worked 1967 14. Total years 30
15. If married name of spouse Violet Burgry
16. NAME of Father Israel Roberts
17. BIRTHPLACE Quebec
18. NAME of Mother Mary MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Allan Roberts
address PO Box 100, Canso
Relationship to deceased Son
21. Place of burial Holy Rosary RC Cemetery, Ballantynes Cove
Date of burial May 17, 1970
22. Undertaker Curry's Funeral Home, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 14, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arterosclerosis
(c)
other Diabetes Mellites now function of R kidney
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