Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ray William Smith death at Sheet Harbour, Halifax County on October 27, 1970
Male Death Registration: Year: 1970 number: 6318
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006318
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital
3. PRINT NAME OF DECEASED Smith, Ray William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Necum Teuch
9. DATE OF BIRTH 10 26, 1888
10. AGE in Years82 Months0 Days1 | 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
16. NAME of Father Thomas E. Smith
17. BIRTHPLACE Necum Teuch
18. NAME of Mother Margaret Hartling
19. BIRTHPLACE Mitchell Bay
20. Signature of Informant Lucy Smith
address Necum Teuch
Relationship to deceased Sister
21. Place of burial Moser River
Date of burial October 29, 1970
22. Undertaker Veinotte & Sons Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 27, 1970
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Myocardial Ischemia
(c) Cardiac Arrhythmia
other Carcinoma of left ear
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