Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ethel Mae Smith death at Amherst, Cumberland County on January 19, 1970
Female Death Registration: Year: 1970 number: 1602
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001602
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Smith, Ethel Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Saint John
9. DATE OF BIRTH 12 3, 1892
10. AGE in Years77 Months1 Days16 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 1950 14. Total years 35
15. If married name of spouse Alfred Smith
16. NAME of Father Wellington Green
17. BIRTHPLACE New Brunswick
18. NAME of Mother Annie Usher
19. BIRTHPLACE New Brunswick
20. Signature of Informant Doug Smith
address 168 Victoria Street, Amherst
Relationship to deceased Son
21. Place of burial Highland Cemetery, Amherst
Date of burial January 21, 1970
22. Undertaker Campbell's
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 19, 1970
CAUSE OF DEATH
(a) Lipoid Carcinoma
(b)
(c)
other
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