Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Emilie Louise Smith death at Yarmouth, Yarmouth County on November 7, 1970
Female Death Registration: Year: 1970 number: 7611
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007611
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Smith, Emilie Louise
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Jordon Ferry
9. DATE OF BIRTH 5 7, 1887
10. AGE in Years83 Months6 Days0 | hrs or mins
11. Trade or profession School Teacher
12. Kind of industry
13. Date last worked 1919 14. Total years 10
15. If married name of spouse
16. NAME of Father Robert Firth
17. BIRTHPLACE Lockeport
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Robert Smith
address New York, USA
Relationship to deceased Son
21. Place of burial Pine Grove Cemetery, Shelburne
Date of burial November 11, 1970
22. Undertaker Huskilson's Funeral Home, Shelburne
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 7, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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