Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Theresa Ann Smith death at Berwick, Kings County on December 7, 1970
Female Death Registration: Year: 1970 number: 7327
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007327
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED Smith, Theresa Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
married
8. BIRTHPLACE Rawdon
9. DATE OF BIRTH 5 23, 1894
10. AGE in Years76 Months6 Days14 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse John Smith
16. NAME of Father Isaac Phillips
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Phillips
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John Smith
address Cambridge
Relationship to deceased Husband
21. Place of burial Cambridge
Date of burial December 11, 1970
22. Undertaker H C Lindsay Funeral Home Ltd, Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 7, 1970
CAUSE OF DEATH
(a) Myocardial inf[arction]
(b) ASHD
(c) Diabetes
other
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