Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Joseph LeBlanc death at Middleton, Annapolis County on August 2, 1970
Male Death Registration: Year: 1970 number: 4899
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004899
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED LeBlanc, Clarence Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Cape Pete, New Brunswick
9. DATE OF BIRTH 10 23, 1892
10. AGE in Years77 Months9 Days10 | hrs or mins
11. Trade or profession Chef & Steward
12. Kind of industry
13. Date last worked 1956 14. Total years 50
15. If married name of spouse Emma LeBlanc
16. NAME of Father Fabrien LeBlanc
17. BIRTHPLACE New Brunswick
18. NAME of Mother Mary Cormier
19. BIRTHPLACE New Brunswick
20. Signature of Informant Anna M. Reese
address 19 Queen St. Middleton
Relationship to deceased Daughter
21. Place of burial R. C. Kingston
Date of burial August 5th 1970
22. Undertaker Frederick H. Roop Funeral Service Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 2, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) ASHD
(c)
other Cerebral Arterosclerosis
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