Male Death Registration: Year: 1971 number: 2649
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002649
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Scared Heart Hospital, Cheticamo, NS
3. PRINT NAME OF DECEASED LeBlanc, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 6 27, 1888
10. AGE in Years82 Months8 Days20 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John LeBlanc
17. BIRTHPLACE Inverness County
18. NAME of Mother Mary LeBlanc
19. BIRTHPLACE Inverness County
20. Signature of Informant Charles J LeBlanc
address BelleCote
Relationship to deceased Nephew
21. Place of burial Margaree, NS
Date of burial March 21 1971
22. Undertaker Louis L Chiasson & Son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 18, 1971
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Carcinoma of Bowel
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494726
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