Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Ashley Smith death at Yarmouth, Yarmouth County on June 24, 1970
Male Death Registration: Year: 1970 number: 4239
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004239
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Smith, Robert Ashley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 7, 1891
10. AGE in Years79 Months3 Days17 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1961 14. Total years 62
15. If married name of spouse Bessie Smith
16. NAME of Father Robert Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lydia Ann Goodwin
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Harold Smith
address Doctors Cove Shel. Co.
Relationship to deceased Son
21. Place of burial Atwoods Brook
Date of burial June 28 1970
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 24, 1970
CAUSE OF DEATH
(a) Pulmonary Edema
(b) Carcinoma Sigmoid
(c)
other
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