Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Leslie Jenks death at Pugwash, Cumberland County on August 16, 1970
Male Death Registration: Year: 1970 number: 5503
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005503
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution North Cumberland Memorial Hospital
3. PRINT NAME OF DECEASED Jenks, Leslie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 12, 1886
10. AGE in Years84 Months7 Days4 | hrs or mins
11. Trade or profession Seaman
12. Kind of industry
13. Date last worked 1935 14. Total years 30
15. If married name of spouse
16. NAME of Father Eugene Jenks
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Hatfield
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Beatrice Wilson
address Parrsboro
Relationship to deceased Cousin
21. Place of burial Parrsboro
Date of burial August 19, 1970
22. Undertaker S.W. Smith & Son Ltd. Parrsboro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1970
CAUSE OF DEATH
(a) Arteriosclerotic heart disease
(b)
(c)
other
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