Male Death Registration: Year: 1971 number: 7458
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007458
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camphill Hospital
3. PRINT NAME OF DECEASED Irving, Leonard Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
widowed
8. BIRTHPLACE Bear River
9. DATE OF BIRTH 12 1, 1888
10. AGE in Years83 Months Days27 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer
13. Date last worked 14. Total years
15. If married name of spouse Mary Magdelein Slavin
16. NAME of Father Crosby Irving
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eunice Irving
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Eleanor Elms
address RR2 Digby
Relationship to deceased Foster Daughter
21. Place of burial Marshalltown
Date of burial December 31, 1971
22. Undertaker Jaynes Funeral Home Ltd. Digby
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 28, 1971
CAUSE OF DEATH
(a) Carcinoma of face
(b)
(c)
other
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499530
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