Male Death Registration: Year: 1971 number: 1780
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001780
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Blanchard Fraser Memorial Hospital, Kentville, NS
3. PRINT NAME OF DECEASED Johnson, Albert Leo
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Kentville
9. DATE OF BIRTH 2 11, 1971
10. AGE in Years Months Days | 2 hrs or mins
11. Trade or profession infant
12. Kind of industry infant
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Albert Johnson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Juanita Le Blanc
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Albert Johnson
address Cambridge Station, Kings County, NS
Relationship to deceased father
21. Place of burial Holy Cross Cemetery, Kentville, NS
Date of burial Feb 12 1971
22. Undertaker John P Covert, Kentville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 11, 1971
CAUSE OF DEATH
(a) Agyria occipital lobes 743.2
(b) absence of all mesenteries 751.6
(c) hepatomegaly MYD 751.6
other Anasacra 774.39 (RhPos mother)
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493858
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