Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Loraine Otto Smith death at Wolfville, Kings County on January 14, 1970
Male Death Registration: Year: 1970 number: 1378
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001378
1. PLACE OF DEATH County of Kings If in City or Town Wolfville
If death occured in a hospital or institution Eastern Kings Memorial Hospital
3. PRINT NAME OF DECEASED Smith, Loraine Otto
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Lunenburg
9. DATE OF BIRTH 5 29, 1895
10. AGE in Years74 Months7 Days15 | hrs or mins
11. Trade or profession retired
12. Kind of industry Commissionaire
13. Date last worked 14. Total years
15. If married name of spouse Eva Melbourne
16. NAME of Father Charles Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anna Morash
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Eva Smith
address 92 Exhibition Street, Kentville
Relationship to deceased Wife
21. Place of burial Elm Grove Cemetery, Kentville
Date of burial 16 January 1970
22. Undertaker H.C. Lindsay Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 14, 1970
CAUSE OF DEATH
(a) Congestive Heart Failure
(b)
(c)
other Cerebral Thrombosis
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