Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Leroy Ernest Wilson death at Berwick, Kings County on July 21, 1971
Male Death Registration: Year: 1971 number: 5386
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005386
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED Wilson, Leroy Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Berwick
9. DATE OF BIRTH 3 24, 1914
10. AGE in Years57 Months3 Days27 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Construction
13. Date last worked 1971 14. Total years
15. If married name of spouse Mary Chute Wilson
16. NAME of Father Rupert Wilson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Agnes Cotter
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Mary Wilson
address South Berwick, NS
Relationship to deceased Wife
21. Place of burial Berwick, NS
Date of burial July 24, 1971
22. Undertaker H. C. Lindsay Funeral Homes Ltd., Berwick, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 21, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other
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