Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Leyland William Glass death at Truro, Colchester County on June 10, 1971
Male Death Registration: Year: 1971 number: 3899
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003899
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution 365 Pleasant Street, Truro NS (at home)
3. PRINT NAME OF DECEASED Glass, Leyland William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Saskatchewan
9. DATE OF BIRTH 8 31, 1915
10. AGE in Years55 Months9 Days10 | hrs or mins
11. Trade or profession Manager
12. Kind of industry retail store
13. Date last worked 14. Total years
15. If married name of spouse Madeline
16. NAME of Father Jacob Glass
17. BIRTHPLACE Ontario
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. L W Glass
address 365 Pleasant St, Truro NS
Relationship to deceased wife
21. Place of burial Robie St Cemetery, Truro
Date of burial June 12, 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 10, 1971
CAUSE OF DEATH
(a) destruction of brain
(b) gun shot wound to head
(c)
other Suicide: self-inflicted gun-shot wound
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