Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Annette LeBlanc death at Cheticamp, Inverness County on May 12, 1970

Female Death Registration: Year: 1970 number: 3987

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003987

1. PLACE OF DEATH   County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Sacred Heart Hospital

3. PRINT NAME OF DECEASED LeBlanc, Annette

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

single

8. BIRTHPLACE Inverness County

9. DATE OF BIRTH 1  25, 1958

10. AGE in  Years12  Months3  Days17 | hrs or 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 Arsene  LeBlanc

17. BIRTHPLACE Inverness County

18. NAME of Mother Sophie  Delaney

19. BIRTHPLACE Inverness County

20. Signature of Informant Margaret Doucet

      address St. Joseph DuMoin

      Relationship to deceased Aunt

21. Place of burial St. Joseph DuMoin

      Date of burial May 15, 1970

22. Undertaker L.L. Chaisson & Son, Cheticamp

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH May 12, 1970

CAUSE OF DEATH

(a) Septicemia

(b) Down Syndrome

(c)

other Tonsilectomy

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