Male Death Registration: Year: 1970 number: 3490
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003490
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Smith, Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
separated
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 8 22, 1905
10. AGE in Years64 Months8 Days12 | hrs or mins
11. Trade or profession Plumber & tinsmith
12. Kind of industry
13. Date last worked 5 years ago 14. Total years life
15. If married name of spouse Florence Hashey
16. NAME of Father Benjamin Smith
17. BIRTHPLACE Windsor
18. NAME of Mother Mary Jane Bickerton
19. BIRTHPLACE Sackville, New Brunswick
20. Signature of Informant Jack Smith
address 47 Hill St, Amherst
Relationship to deceased Son
21. Place of burial Amherst Cemetery co
Date of burial May 7, 1970
22. Undertaker Furlong's Funeral Home Ltd, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 4, 1970
CAUSE OF DEATH
(a) Broncho Pneumonia
(b) Burns on both lower limbs
(c) Emphysema
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488800
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