Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Agathe LeBlanc death at Yarmouth, Yarmouth County on December 14, 1971
Female Death Registration: Year: 1971 number: 7330
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007330
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, Mary Agathe
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Morris Island
9. DATE OF BIRTH 8 21, 1887
10. AGE in Years84 Months3 Days23 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1967 14. Total years
15. If married name of spouse
16. NAME of Father Sylvain Surette
17. BIRTHPLACE Morris Island
18. NAME of Mother Catherine Surette
19. BIRTHPLACE Morris Island
20. Signature of Informant Levi LeBlanc
address 32 Argyle St., Yarmouth
Relationship to deceased Son
21. Place of burial Ste Anne du Ruisseau
Date of burial December 17, 1971
22. Undertaker H.M. Huskilson's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 14, 1971
CAUSE OF DEATH
(a) ASHD
(b)
(c)
other Pneumonia
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