Male Death Registration: Year: 1971 number: 3957
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003957
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Legge, Charles Raymond
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Milton, Queens Co
9. DATE OF BIRTH 8 20, 1916
10. AGE in Years54 Months9 Days23 | hrs or mins
11. Trade or profession retired
12. Kind of industry laborer
13. Date last worked Dec 1970 14. Total years
15. If married name of spouse Erna Legge
16. NAME of Father Raymond Legge
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bertha Lloyd
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Roland MacKenzie
address 310 Tremaine Crescent, Windsor, NS
Relationship to deceased son-in-law
21. Place of burial Milton, Queens Co., NS
Date of burial June 14, 1971
22. Undertaker Chandler's Funeral Home Ltd., Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Congestive Heart Failure
(c) Bronchitis, previous myocardial infractions
other Recurrent Gastrointestinal tract calculi (old TB)
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496033
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