Male Death Registration: Year: 1971 number: 6087
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006087
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Kelly, Leo Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 4 19, 1897
10. AGE in Years74 Months5 Days28 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Collector - City Hall
13. Date last worked 1954 14. Total years 9
15. If married name of spouse Bertha A. Kelly
16. NAME of Father Peter Kelly
17. BIRTHPLACE Halifax
18. NAME of Mother
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Lawrence H. Kelly
address 5682 Kane St. Halifax
Relationship to deceased Son
21. Place of burial Gate of Heaven, Lower Sackville
Date of burial October 20, 1971
22. Undertaker Cruikshanks Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 17, 1971
CAUSE OF DEATH
(a) Recurrent CVA
(b) Arteriosclerosis heart disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498160
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