Male Death Registration: Year: 1970 number: 4320
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004320
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Scared Heart Hospital
3. PRINT NAME OF DECEASED LeBlanc, Cornelius George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 6 26, 1951
10. AGE in Years18 Months11 Days17 | hrs or mins
11. Trade or profession at school
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Willie T. LeBlanc
17. BIRTHPLACE Inverness County
18. NAME of Mother Eveline Chiasson
19. BIRTHPLACE Inverness County
20. Signature of Informant Willie T. LeBlanc
address Belle Cote
Relationship to deceased father
21. Place of burial Margaree
Date of burial June 15, 1970
22. Undertaker Louis L. Chiasson & Son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1970
CAUSE OF DEATH
(a) fractured skull
(b)
(c)
other Accident - car left road Fractured neck
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489629
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