Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Cyril Edward Smith death at Windsor, Hants County on November 6, 1970
Male Death Registration: Year: 1970 number: 6470
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006470
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Masonic Home
3. PRINT NAME OF DECEASED Smith, Cyril Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 17, 1878
10. AGE in Years91 Months11 Days20 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse May Sullivan (Deceased)
16. NAME of Father Robert Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother MacKenzie Sara Ann
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mildred Loren's
address Falmouth
Relationship to deceased none (nurse at Masonic Home)
21. Place of burial Mapelwood Cem Windsor
Date of burial November 8, 1970
22. Undertaker Lohnes Funeral Service Ltd, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 6, 1970
CAUSE OF DEATH
(a) Cerebral Hemorrage
(b) Arteriosclerosis
(c)
other
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