Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Brenton John Leopold death at Halifax, Halifax County on September 11, 1971

Male Death Registration: Year: 1971 number: 5681

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005681

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital

3. PRINT NAME OF DECEASED Leopold, Brenton John

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Caucasian

7. Single, Married

married

8. BIRTHPLACE Hants County

9. DATE OF BIRTH 4  12, 1900

10. AGE in  Years71  Months4  Days29 | hrs or mins

11. Trade or profession Lumbering

12. Kind of industry Lumber

13. Date last worked 1969       14. Total years 50 years

15. If married name of spouse Violet Rose Ruby

16. NAME of Father Burton Leopold

17. BIRTHPLACE NS

18. NAME of Mother Serrilla Dorey

19. BIRTHPLACE NS

20. Signature of Informant Violet Leopold

      address RR #3, Windsor, Hants Co., NS

      Relationship to deceased Wife

21. Place of burial Vaughan Cemetery, Vaughan, Hants Co., NS

      Date of burial 14 September 1971

22. Undertaker Lohnes Funeral Service Ltd., Windsor, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 11, 1971

CAUSE OF DEATH

(a) Lymphosarcoma

(b)

(c)

other Candida Pneumonia, Anemia & Thrombocytopenia

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