Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Albert LeBlanc death at Yarmouth, Yarmouth County on July 17, 1971
Male Death Registration: Year: 1971 number: 4471
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004471
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, Charles Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Lower East Pubnico, Yar. County
9. DATE OF BIRTH 5 15, 1881
10. AGE in Years90 Months2 Days2 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Philip LeBlanc
17. BIRTHPLACE Middle East Pubnico, Yar. Co., NS
18. NAME of Mother Rosalie Amirault
19. BIRTHPLACE Middle East Pubnico, Yar. Co., NS
20. Signature of Informant Marie Anne LeBlanc
address Lower East Pubnico
Relationship to deceased Guardian
21. Place of burial Middle East Pubnico Cemetery
Date of burial July 20, 1971
22. Undertaker West Pubnico Funeral Services, Yar. Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 17, 1971
CAUSE OF DEATH
(a) A Brain Metastatic Carcinoma Prostate
(b)
(c)
other Pneumonitis
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