Male Death Registration: Year: 1971 number: 2823
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002823
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Ross, Leroy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 19, 1900
10. AGE in Years70 Months8 Days12 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1951 14. Total years 32 yrs
15. If married name of spouse Alida Ross
16. NAME of Father Warren Ross
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Frances Atkinson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Alida Ross
address Stoney Island, Shel. Co.
Relationship to deceased Wife
21. Place of burial Stoney Island
Date of burial April 4, 1971
22. Undertaker Kenny Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 31, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other Diabetes Mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494900
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