Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Ellis Edwin Smith death at New Glasgow, Pictou County on June 14, 1970

Male Death Registration: Year: 1970 number: 4088

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004088

1. PLACE OF DEATH   County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital

3. PRINT NAME OF DECEASED Smith, Ellis Edwin

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Massachusetts, USA

9. DATE OF BIRTH 5  18, 1906

10. AGE in  Years64  Months0  Days27 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Mechanic

13. Date last worked 1962       14. Total years Life

15. If married name of spouse

16. NAME of Father Edward  Smith

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Hattie  Robertson

19. BIRTHPLACE Nova Scotia

20. Signature of Informant George Ross

      address IOOF Home, Pictou

      Relationship to deceased None

21. Place of burial Malagash

      Date of burial June 18, 1970

22. Undertaker McLaren Funeral Home, Pictou

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 14, 1970

CAUSE OF DEATH

(a) Carcinoma Stomach

(b)

(c)

other Gangrene Rt leg Arterosclerotic cerebrovascular disease

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