Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Agnes Mary Leboeuf death at Porters Lake, Halifax County on November 6, 1971
Female Death Registration: Year: 1971 number: 6473
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006473
1. PLACE OF DEATH County of Halifax If in City or Town Porters Lake
If death occured in a hospital or institution Heart attack with diabetes
3. PRINT NAME OF DECEASED Leboeuf, Agnes Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Saint Georges Newfoundland
9. DATE OF BIRTH 1 9, 1896
10. AGE in Years75 Months9 Days28 | hrs or mins
11. Trade or profession House Duties
12. Kind of industry
13. Date last worked 1971 14. Total years 53
15. If married name of spouse
16. NAME of Father John Barry
17. BIRTHPLACE Ireland
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Charles Albert
address Porters Lake, NS
Relationship to deceased Daughter
21. Place of burial Gate of Heaven LR, Sackville, Halifax Co, NS
Date of burial Nov 9, 1971
22. Undertaker Mattatall Funeral Service Ltd. Dartmouth NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 6, 1971
CAUSE OF DEATH
(a)
(b)
(c)
other
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