Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anna Princetta Smith death at Midville Branch, Lunenburg County on March 4, 1970
Female Death Registration: Year: 1970 number: 2035
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002035
1. PLACE OF DEATH County of Lunenburg If in City or Town Midville Branch
3. PRINT NAME OF DECEASED Smith, Anna Princetta
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 8, 1884
10. AGE in Years85 Months4 Days24 | hrs or mins
11. Trade or profession At Home.
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Deceased
16. NAME of Father John Crouse
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sophia Conrad
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Robert Smith.
address RR#1 B'water.
Relationship to deceased Son.
21. Place of burial Midville Branch
Date of burial May 7, 1970
22. Undertaker Charles S. Sweeney B.Water
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 4, 1970
CAUSE OF DEATH
(a) cerebral thrombosis
(b) arteriosclerosis
(c) age [ch?] myocarditis and congestive failure
other
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