Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Delbert Leo Smith death at Port Howe, Cumberland County on February 22, 1970

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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