Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frisby Smith death at Bridgewater, Lunenburg County on August 17, 1970
Male Death Registration: Year: 1970 number: 4973
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004973
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Pleasant Rest Home
3. PRINT NAME OF DECEASED Smith, Frisby
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Roanoak, Virginia, USA
9. DATE OF BIRTH 8 18, 1884
10. AGE in Years85 Months11 Days30 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Bessie Smith
16. NAME of Father William Smith
17. BIRTHPLACE United States of America
18. NAME of Mother Kaizer
19. BIRTHPLACE United States of America
20. Signature of Informant Mrs. Frisby Smith
address 98 Dufferin St. Bridgewater
Relationship to deceased Wife
21. Place of burial Bridgewater
Date of burial August 19, 1970
22. Undertaker C. Sweeny, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 17, 1970
CAUSE OF DEATH
(a) Cardiovascular anxiety
(b)
(c)
other Hypertension
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