Male Death Registration: Year: 1971 number: 6183
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006183
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 Pack, Leslie John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE England
9. DATE OF BIRTH 11 18, 1907
10. AGE in Years63 Months11 Days7 | hrs or mins
11. Trade or profession Asset Manager
12. Kind of industry Connolly's Book Store
13. Date last worked 30 August 1971 14. Total years 47 years
15. If married name of spouse
16. NAME of Father Samuel J. Pack
17. BIRTHPLACE England
18. NAME of Mother Annie Slade
19. BIRTHPLACE England
20. Signature of Informant Mrs. H. A. Little
address 2208 Connaught Avenue, Halifax, NS
Relationship to deceased Sister
21. Place of burial Camp Hill Cemetery, Halifax, NS
Date of burial 27 October 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 25, 1971
CAUSE OF DEATH
(a) Acute Subdural Hematoma
(b) Skull Fracture
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498256
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