Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
George Smith death at Sydney, Cape Breton County on August 27, 1970
Male Death Registration: Year: 1970 number: 5368
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005368
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St Rita Hospital
3. PRINT NAME OF DECEASED Smith, George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Liverpool
9. DATE OF BIRTH 3 12, 1891
10. AGE in Years79 Months5 Days15 | hrs or mins
11. Trade or profession Well digger
12. Kind of industry
13. Date last worked 8 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant per Frank W Brace
address RR #3, Keltic Driver, Sydney River
Relationship to deceased Neighbour
21. Place of burial St Marks Cemetery, Coxheath
Date of burial Aug 29, 1970
22. Undertaker R H Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 27, 1970
CAUSE OF DEATH
(a) Aortic Aneurysm
(b)
(c)
other
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