Male Death Registration: Year: 1971 number: 6988
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006988
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED LeBlanc, Maurice
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Morris Island, Yarmouth County
9. DATE OF BIRTH 6 24, 1912
10. AGE in Years59 Months5 Days4 | hrs or mins
11. Trade or profession Weaver
12. Kind of industry Cotton Mill
13. Date last worked 4 November 1971 14. Total years 25 years
15. If married name of spouse Florence LeBlanc
16. NAME of Father Sylvain Mathurn LeBlanc
17. BIRTHPLACE Morris Island, Yarmouth Co., NS
18. NAME of Mother Margaret Muise
19. BIRTHPLACE Morris Island, Yarmouth Co., NS
20. Signature of Informant Mrs. Florence LeBlanc
address Sand Beach, Yarmouth Co., NS
Relationship to deceased Wife
21. Place of burial Our Lady of Calvary, Yarmouth, NS
Date of burial 11 December 1971
22. Undertaker H. M. Huskilson's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 28, 1971
CAUSE OF DEATH
(a) Pulmonary Edema & Metastasis (?)
(b)
(c)
other Bronchitis & ______?
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499061
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