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