Male Death Registration: Year: 1971 number: 6455
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006455
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St Martha's Hospital
3. PRINT NAME OF DECEASED Delorey, Leonard Francis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Pomquet, Antigonish Co
9. DATE OF BIRTH 11 5, 1904
10. AGE in Years66 Months11 Days26 | hrs or mins
11. Trade or profession Fisherman & Farmer
12. Kind of industry farming & fishing
13. Date last worked 10/20/1971 14. Total years 50
15. If married name of spouse Ema Durant
16. NAME of Father John B. Delorey
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Boudreau
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John L. Delorey
address Box 219, Pomquet, Ant. Co., NS
Relationship to deceased Son
21. Place of burial Holy Cross R.C. Cemetery, Pomquet
Date of burial 11/3/1971
22. Undertaker Curry Bros. Funeral Directors Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 31, 1971
CAUSE OF DEATH
(a) Perforation of esophagus
(b) bone
(c)
other Pericarditis, bilateral emphysema
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498528
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