Male Death Registration: Year: 1971 number: 7607
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007607
1. PLACE OF DEATH County of Shelburne If in City or Town Sable River
If death occured in a hospital or institution Sable River Nursing Home, Sable River
3. PRINT NAME OF DECEASED Kendrick, Leroy Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 4, 1895
10. AGE in Years76 Months0 Days27 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1951 14. Total years 38
15. If married name of spouse
16. NAME of Father William E. Kendrick
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Rosalee Hines
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Rosa Crowell
address Crowell's P.O., Shelburne Co., N.S>
Relationship to deceased Sister
21. Place of burial East Pubnico, Yarmouth Co.
Date of burial 03 January 1972
22. Undertaker Kenney Funeral Service, Barrington, Shelburne Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 31, 1971
CAUSE OF DEATH
(a) Pulmonary Oedema
(b) Congestive Heart Failure
(c) Arteriosclerotic Heart Disease
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499679
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