Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Rosina LeBlanc death at Glace Bay, Cape Breton County on July 25, 1970
Female Death Registration: Year: 1970 number: 4539
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004539
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED LeBlanc, Mary Rosina
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Reserve Mines
9. DATE OF BIRTH 1 26, 1912
10. AGE in Years58 Months5 Days29 | hrs or mins
11. Trade or profession Household duties
12. Kind of industry
13. Date last worked February 1970 14. Total years
15. If married name of spouse David LeBlanc
16. NAME of Father Leo Chiasson
17. BIRTHPLACE Cheticamp
18. NAME of Mother Marie Ann Chiasson
19. BIRTHPLACE Cheticamp
20. Signature of Informant La LeBlanc
address Rear Main St. Reserve Mines
Relationship to deceased Son
21. Place of burial St. Joseph's, Glace Bay
Date of burial July 28, 1970
22. Undertaker V.J. McGillivray Funeral Homes Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 25, 1970
CAUSE OF DEATH
(a) Cancer of Stomach
(b)
(c)
other
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