Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Smith death at Halifax, Halifax County on November 1, 1970

Female Death Registration: Year: 1970 number: 6768

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006768

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital

3. PRINT NAME OF DECEASED Smith,

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

7. Single, Married

single

8. BIRTHPLACE Halifax

9. DATE OF BIRTH 11  1, 1970

10. AGE in  Years  Months  Days | hrs or 5 mins

11. Trade or profession

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father  

17. BIRTHPLACE

18. NAME of Mother Linda Smith

19. BIRTHPLACE

20. Signature of Informant

      address

      Relationship to deceased

21. Place of burial

      Date of burial

22. Undertaker

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH November 1, 1970

CAUSE OF DEATH

(a) Prematurity

(b)

(c)

other

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