Male Death Registration: Year: 1970 number: 2151
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002151
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution P. M. Hospital
3. PRINT NAME OF DECEASED Smith, Gordon Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Hantsport
9. DATE OF BIRTH 7 1, 1890
10. AGE in Years79 Months8 Days9 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Minnie Tracey
16. NAME of Father Edgar Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Kelly
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Freda Smith
address Lockhartville, Kings
Relationship to deceased Daughter
21. Place of burial Riverbank Cemetery, Hantsport
Date of burial March 12, 1970
22. Undertaker Lindsay Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 10, 1970
CAUSE OF DEATH
(a) Cerebral hemorrhage
(b) Arteriosclerotic heart disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487464
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