Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rose LeBlanc death at Yarmouth, Yarmouth County on May 19, 1971
Female Death Registration: Year: 1971 number: 3538
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003538
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 LeBlanc, Rose
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Wedgeport
9. DATE OF BIRTH 2 15, 1883
10. AGE in Years88 Months3 Days4 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1962 14. Total years
15. If married name of spouse deceased
16. NAME of Father Augustin Pothier
17. BIRTHPLACE Lr. Wedgeport, NS
18. NAME of Mother Mary Ann Pothier
19. BIRTHPLACE Wedgeport, NS
20. Signature of Informant Leopold LeBlanc
address Wedgeport, NS
Relationship to deceased Son
21. Place of burial Wedgeport, NS
Date of burial May 21, 1971
22. Undertaker H. M. Huskilson's Funeral Home, Albert Street, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 19, 1971
CAUSE OF DEATH
(a) Renal Failure
(b) Hypertension
(c) Atherosclerosis
other Penetrating of Colon
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