Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anthony Leo DeWolfe death at Antigonish, Antigonish County on July 20, 1971
Male Death Registration: Year: 1971 number: 4626
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004626
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED DeWolfe, Anthony Leo
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 20, 1971
10. AGE in Years Months Days | 6 hrs or 30 mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Margaret Elizabeth DeWolfe DeWolfe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Margaret Elizabeth DeWolfe
address Lower South River, NS
Relationship to deceased Mother
21. Place of burial St Andrews, Ant. Co. NS
Date of burial July 22, 1971
22. Undertaker Leo Arthur DeWolfe, Lower South River, Ant. Co. NS (grandfather)
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 20, 1971
CAUSE OF DEATH
(a) Severe immaturity
(b) Respiratory Insufficiency
(c)
other
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