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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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