Male Death Registration: Year: 1971 number: 5011
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005011
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Consolidated Hospital
3. PRINT NAME OF DECEASED Antle, Leonard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 9 25, 1910
10. AGE in Years60 Months10 Days12 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Emma Roper
16. NAME of Father John Antle
17. BIRTHPLACE Newfoundland
18. NAME of Mother Siscely Penny
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs Leonard Antle
address 42 Smith St New Waterford, Nova Scotia
Relationship to deceased Wife
21. Place of burial All Saints Cemetery, New Waterford
Date of burial August 9, 1971
22. Undertaker V.J. McGillivray Funeral Homes Ltd. New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 6, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Chronic Airway Obstruction
(c) due to pneumoconiosis & Emphysema
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497085
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