Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Thomas Lewis Smith death at Inverness, Inverness County on March 1, 1970
Male Death Registration: Year: 1970 number: 2018
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002018
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution Quincy Street, Inverness
3. PRINT NAME OF DECEASED Smith, Thomas Lewis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Inverness
9. DATE OF BIRTH 12 4, 1969
10. AGE in Years Months2 Days25 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John A. Smith
17. BIRTHPLACE North Ainslie
18. NAME of Mother Agnes MacNeil
19. BIRTHPLACE New Waterford
20. Signature of Informant John Angus Smith
address Inverness
Relationship to deceased Father
21. Place of burial Strathlorne
Date of burial March 3, 1970
22. Undertaker Rod MacDonald Funeral Home, Inverness
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 1, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Sudden death; Crib death
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