Female Death Registration: Year: 1971 number: 3352
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003352
1. PLACE OF DEATH County of Richmond If in City or Town Cannes
3. PRINT NAME OF DECEASED LeBlanc, Charlotte
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE River Bourgeois
9. DATE OF BIRTH 8 15, 1869
10. AGE in Years101 Months8 Days12 | 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 Charles LeBlanc (deceased)
16. NAME of Father Henry Bouchie
17. BIRTHPLACE River Bourgeois,
18. NAME of Mother Mary Sampson
19. BIRTHPLACE River Bourgeois
20. Signature of Informant Henry LeBlanc
address RR#4 St Peters, Cannes, NS
Relationship to deceased Son
21. Place of burial River Bourgeois RC Cemetery
Date of burial April 30, 1971
22. Undertaker Alex A. Morrison, St. Peters, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 27, 1971
CAUSE OF DEATH
(a) Chronic Arteriosclerotic heart disease
(b)
(c)
other Pemphigus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495428
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