Male Death Registration: Year: 1970 number: 2132
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002132
1. PLACE OF DEATH County of Cumberland If in City or Town Port Howe
3. PRINT NAME OF DECEASED Smith, Delbert Leo
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Cumberland County
9. DATE OF BIRTH 4 29, 1942
10. AGE in Years27 Months9 Days24 | hrs or mins
11. Trade or profession Operating Room Tec.
12. Kind of industry Hospital
13. Date last worked Feb. 19, 1970 14. Total years 8
15. If married name of spouse
16. NAME of Father Fred Smith
17. BIRTHPLACE Cumberland County
18. NAME of Mother Margaret Miller
19. BIRTHPLACE Cumberland County
20. Signature of Informant Ernest B. Smith
address Alban St., Trenton
Relationship to deceased Brother
21. Place of burial Oxford
Date of burial Feb. 24, 1970
22. Undertaker C.W. Black
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 22, 1970
CAUSE OF DEATH
(a) Fracture dislocation of neck
(b) Rupture of cervical trachea
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487445
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