Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Simon LeBlanc death at Petit-de-Grat, Richmond County on August 27, 1971
Male Death Registration: Year: 1971 number: 5518
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005518
1. PLACE OF DEATH County of Richmond If in City or Town Petit-de-Grat
3. PRINT NAME OF DECEASED LeBlanc, Simon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 8 3, 1885
10. AGE in Years86 Months Days24 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Malthide LeBlanc
16. NAME of Father Mederick LeBlanc
17. BIRTHPLACE Inverness County
18. NAME of Mother Henriette AuCooin
19. BIRTHPLACE Inverness County
20. Signature of Informant Mld. LeBlanc
address Petit-Etang, NS
Relationship to deceased Son
21. Place of burial Cheticamp, NS
Date of burial August 30, 1971
22. Undertaker Louis L. Chiasson & Son, Cheticamp, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 27, 1971
CAUSE OF DEATH
(a) Cardiovascular Renal
(b) Arteriosclerosis
(c)
other
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