Male Death Registration: Year: 1971 number: 1255
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001255
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Leopold, Bradley Myles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
8. BIRTHPLACE Windsor
9. DATE OF BIRTH 11 19, 1971
10. AGE in Years Months2 Days1 | hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Emerson Leopold
17. BIRTHPLACE New Ross, Nova Scotia
18. NAME of Mother Vivian Silver
19. BIRTHPLACE Baxters Harbour
20. Signature of Informant William Leopold
address Martock, Hants Co.
Relationship to deceased Father
21. Place of burial Windsor Forks, Hants Co.
Date of burial January 22, 1971
22. Undertaker Lindsay Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 20, 1971
CAUSE OF DEATH
(a) Acute viral toxaemia
(b) Influenza
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493333
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