Male Death Registration: Year: 1970 number: 2627
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002627
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Smith, Paul Lawrence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE St. Croix
9. DATE OF BIRTH 10 31, 1899
10. AGE in Years70 Months5 Days0 | hrs or mins
11. Trade or profession Farmer & Fire Lookout (retired)
12. Kind of industry
13. Date last worked 1969 14. Total years 50
15. If married name of spouse Janet Pollock
16. NAME of Father Loran Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eugenia Harvey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Paul Smith
address St. Croix, Hants
Relationship to deceased Wife
21. Place of burial St. Croix Cemetery
Date of burial April 4, 1970
22. Undertaker Lohnes Funeral Service Ltd., Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 1, 1970
CAUSE OF DEATH
(a) Acute myocardial infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487939
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