Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Leonard Herman Fredericks death at Yarmouth, Yarmouth County on October 28, 1971

Male Death Registration: Year: 1971 number: 6412

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006412

1. PLACE OF DEATH   County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution 232 Main Yarmouth

3. PRINT NAME OF DECEASED Fredericks, Leonard Herman

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

German

7. Single, Married

single

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 9  8, 1925

10. AGE in  Years45  Months1  Days20 | hrs or mins

11. Trade or profession Marine electronics

12. Kind of industry Engineer

13. Date last worked Oct. 28-71       14. Total years 20

15. If married name of spouse

16. NAME of Father Herman Fredericks

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Thelma Baker

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Stanley Gates

      address Kingston, Kings Co. N.S.

      Relationship to deceased

21. Place of burial North Kingston, Kings Co

      Date of burial October 30-1971

22. Undertaker Warren T. Roop Ltd. Middleton

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 28, 1971

CAUSE OF DEATH

(a) Lobar pneumonia

(b) Fatty degeneration of liver

(c)

other

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Note: Seen as medical examiner - Found dead in wash room

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498485

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