Male Death Registration: Year: 1971 number: 2747
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002747
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Prince Street Children's Home, Sydney, NS
3. PRINT NAME OF DECEASED LeBlanc, Jules Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Cheticamp, Inverness Co
9. DATE OF BIRTH 11 2, 1960
10. AGE in Years10 Months5 Days12 | hrs or mins
11. Trade or profession nil
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Mr Emile LeBlanc
17. BIRTHPLACE Cape Breton
18. NAME of Mother Mary Cormier
19. BIRTHPLACE Cape Breton
20. Signature of Informant Mrs Jessie Burke RN
address 76 Leeside Drive, Coxheath, CB, NS
Relationship to deceased Supt, Children's Home
21. Place of burial Resurrection Cemetery, Sydney Fork's, NS
Date of burial April 16, 1971
22. Undertaker T W Curry Ltd, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 14, 1971
CAUSE OF DEATH
(a) Severe Congenital Mental Retardation
(b) Microcephalic
(c)
other Very Underdeveloped
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494824
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