Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Henry Smith death at Sandy Point, Shelburne County on November 10, 1970
Male Death Registration: Year: 1970 number: 6625
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006625
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Smith, William Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 23, 1887
10. AGE in Years83 Months0 Days18 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1955 14. Total years 50
15. If married name of spouse Hilda Smith
16. NAME of Father Daniel Vincent Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Louisa Ross
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Clyde T Smith
address Port La Tour, Shel. Co.
Relationship to deceased son
21. Place of burial Port La Tour
Date of burial November 13th 1970
22. Undertaker Kenney Funeral Service Barrington Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 10, 1970
CAUSE OF DEATH
(a) uraemia
(b) cerebral thrombosis
(c) hypertension
other anaemia cerebral arteriosclerosis
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