Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Cyril Lefort death at Cheticamp, Inverness County on January 3, 1971
Male Death Registration: Year: 1971 number: 1258
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001258
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Cheticamp, on highway
3. PRINT NAME OF DECEASED Lefort, Cyril
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 2 15, 1954
10. AGE in Years16 Months10 Days3 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Paul LeFort
17. BIRTHPLACE Inverness County
18. NAME of Mother Antoinette AuCoin
19. BIRTHPLACE Inverness County
20. Signature of Informant Mrs. Antoinette LeFort
address Point Cross
Relationship to deceased Mother
21. Place of burial Cheticamp, NS
Date of burial 5 January 1971
22. Undertaker L.L. Chaisson & Son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 3, 1971
CAUSE OF DEATH
(a) Skull fracture with compression
(b)
(c)
other
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