Male Death Registration: Year: 1970 number: 7221
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007221
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Smith, Ernest Fredrick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 26, 1900
10. AGE in Years70 Months5 Days18 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Imperial Oil Ltd.
13. Date last worked January 1963 14. Total years 25 yrs
15. If married name of spouse Ada M. Smith
16. NAME of Father Frank Smith
17. BIRTHPLACE NS
18. NAME of Mother Elizabeth Beck
19. BIRTHPLACE NS
20. Signature of Informant Ada Smith
address 20 Brookside Ave. Dart. NS
Relationship to deceased Wife
21. Place of burial Mt. Hermon, Dart.
Date of burial Dec. 17/70
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 14, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492527
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