Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gerald LeBlanc death at Kelly Lake, Halifax County on April 4, 1971
Male Death Registration: Year: 1971 number: 2586
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002586
1. PLACE OF DEATH County of Halifax If in City or Town Kelly Lake
If death occured in a hospital or institution Halifax, NS
3. PRINT NAME OF DECEASED LeBlanc, Gerald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Nouvelle, Quebec
9. DATE OF BIRTH 3 22, 1946
10. AGE in Years25 Months Days13 | hrs or mins
11. Trade or profession Electrician
12. Kind of industry
13. Date last worked 14. Total years April 2/71
15. If married name of spouse "no name" LeBlanc
16. NAME of Father Ruppert LeBlanc
17. BIRTHPLACE Quebec
18. NAME of Mother N/A N/A
19. BIRTHPLACE Quebec
20. Signature of Informant Romeo Henry
address Lt Aleis of Madepia, Quebec (?)
Relationship to deceased
21. Place of burial Nouvelle Quebec
Date of burial April 6 1971
22. Undertaker Cruikshank Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 4, 1971
CAUSE OF DEATH
(a) Multiple Injuries
(b)
(c)
other Accident: 4-car collision
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