Male Death Registration: Year: 1970 number: 3887
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003887
1. PLACE OF DEATH County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St Ann Hosp.
3. PRINT NAME OF DECEASED LeBrun, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
8. BIRTHPLACE St. Ann Hospital, Arichat
9. DATE OF BIRTH 6 10, 1970
10. AGE in Years Months Days | hrs or 40 mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Betty Elizabeth LeBrun
19. BIRTHPLACE Arichat
20. Signature of Informant Betty Elizabeth LeBrun
address Arichat, Rich Co.
Relationship to deceased Mother
21. Place of burial Arichat, Rich Co.
Date of burial June 10th, 1970
22. Undertaker C A Boucher Funeral Home, Arachat
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 10, 1970
CAUSE OF DEATH
(a) Premature
(b) Apnoea
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489197
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