Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ida May Smith death at Liverpool, Queens County on October 2, 1970
Female Death Registration: Year: 1970 number: 6087
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006087
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Smith, Ida May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Petite Riviere
9. DATE OF BIRTH 1 16, 1890
10. AGE in Years80 Months8 Days16 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked April 1970 14. Total years
15. If married name of spouse Herbert Smith
16. NAME of Father John Baker
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Teresa Watson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Marie D. Simms
address Brooklyn
Relationship to deceased Daughter
21. Place of burial Brooklyn
Date of burial October 4, 1970
22. Undertaker Chandler's Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 2, 1970
CAUSE OF DEATH
(a) Cancer of Pancreas
(b)
(c)
other
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