Male Death Registration: Year: 1970 number: 3794
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003794
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Smith, Mathias
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Maple Plains, Prince Edward Island
9. DATE OF BIRTH 3 15, 1913
10. AGE in Years57 Months2 Days5 | hrs or mins
11. Trade or profession stevedore
12. Kind of industry Halifax Waterfront
13. Date last worked 1970 14. Total years 30
15. If married name of spouse
16. NAME of Father James Smith
17. BIRTHPLACE Kinkora, Prince Edward Island
18. NAME of Mother Cecilla Murphy
19. BIRTHPLACE Kinkora, Prince Edward Island
20. Signature of Informant Mrs. Loretta Kelly
address Kinkora, Prince Edward Island
Relationship to deceased Sister
21. Place of burial Kinkora, Prince Edward Island
Date of burial May 25 / 70
22. Undertaker Rooney Funeral Home, Alberton, Prince Edward Island
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 20, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489104
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