Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Leo Patrick Charlton death at Halifax, Halifax County on July 1, 1971
Male Death Registration: Year: 1971 number: 4338
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004338
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Charlton, Leo Patrick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 12 9, 1892
10. AGE in Years78 Months6 Days22 | hrs or mins
11. Trade or profession Barber
12. Kind of industry Self-employed
13. Date last worked 1958 14. Total years 55
15. If married name of spouse Alice Evans
16. NAME of Father John Charlton
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bridget Doyle
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Leo P Charlton
address 2531 Oxford St. Halifax, NS
Relationship to deceased Wife
21. Place of burial Gate of Heaven Cemetery, Lr. Sackville, Hfx. Co. NS
Date of burial July 5, 1971
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 1, 1971
CAUSE OF DEATH
(a) Carcinoma of the Lung
(b)
(c)
other
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