Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Charlotte LeBlanc death at Cannes, Richmond County on April 27, 1971

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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