Male Death Registration: Year: 1971 number: 3022
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003022
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution DOA St Rita Hospital
3. PRINT NAME OF DECEASED Stone, Leo Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Samsonville
9. DATE OF BIRTH 11 24, 1930
10. AGE in Years40 Months4 Days28 | hrs or mins
11. Trade or profession Assistant Business Representitive
12. Kind of industry Carpenters Union 3268
13. Date last worked Apr 20/71 14. Total years 1 year
15. If married name of spouse Mrs Ronola Stone
16. NAME of Father George Stone
17. BIRTHPLACE Lynch's River, Nova Scotia
18. NAME of Mother Charlotte Landry
19. BIRTHPLACE Samsonville, Nova Scotia
20. Signature of Informant Mrs. Ronola Stone
address St. Peter's
Relationship to deceased wife
21. Place of burial Lakeview Cemetery, St. Peter's
Date of burial April 24, 1971
22. Undertaker Alex A Morrison, St. Peters
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 21, 1971
CAUSE OF DEATH
(a) Coronary Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495098
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