Male Death Registration: Year: 1971 number: 2614
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002614
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital
3. PRINT NAME OF DECEASED LeBlanc, Michael Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 7 15, 1965
10. AGE in Years5 Months8 Days5 | hrs or mins
11. Trade or profession child
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph LeBlanc
17. BIRTHPLACE Glace Bay
18. NAME of Mother Wanda Kelloway
19. BIRTHPLACE Glace Bay
20. Signature of Informant Joseph LeBlanc
address 32 School St, Glace Bay
Relationship to deceased father
21. Place of burial Holy Cross, Glace Bay
Date of burial March 23, 1971
22. Undertaker Curry's Funeral Home, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 20, 1971
CAUSE OF DEATH
(a) Asphyxia due to house fire
(b)
(c)
other Accident
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494691
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