Male Death Registration: Year: 1970 number: 1486
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001486
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Lockhart Nursing Home
3. PRINT NAME OF DECEASED Smith, Reggie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Sherbrooke
9. DATE OF BIRTH 3 28, 1909
10. AGE in Years60 Months9 Days28 | hrs or mins
11. Trade or profession Invalid
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Arthur Smith
17. BIRTHPLACE Sherbrooke
18. NAME of Mother Arabelle MacDonald
19. BIRTHPLACE Dufferin Mines
20. Signature of Informant Mrs. James Carmichael
address Stellarton Pictou Co.
Relationship to deceased Sister
21. Place of burial Sherbrooke
Date of burial January 28, 1970
22. Undertaker Veinotte & Sons Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 26, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Pulmonary
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486800
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