Male Death Registration: Year: 1970 number: 5439
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005439
1. PLACE OF DEATH County of Victoria If in City or Town Neils Harbour
3. PRINT NAME OF DECEASED Smith, Stanley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 6, 1900
10. AGE in Years70 Months7 Days22 | hrs or mins
11. Trade or profession Labour
12. Kind of industry Labouring
13. Date last worked 1960 14. Total years 40
15. If married name of spouse
16. NAME of Father John Smith
17. BIRTHPLACE Newfoundland
18. NAME of Mother Rose Anna Rideout
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Fred Smith
address Neils Harbour
Relationship to deceased
21. Place of burial St. Andrews Cemetery, Neils Harbour
Date of burial August 31, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd. Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 28, 1970
CAUSE OF DEATH
(a) Bullet wound - brain
(b)
(c)
other Suicide - shot entered brain
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490747
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