Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Thelston Parke Smith death at South Brookfield, Queens County on January 14, 1971

Male Death Registration: Year: 1971 number: 1279

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001279

1. PLACE OF DEATH   County of Queens If in City or Town South Brookfield
If death occured in a hospital or institution Highway (at home), South Brookfield

3. PRINT NAME OF DECEASED Smith, Thelston Parke

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

divorced

8. BIRTHPLACE Port Medway, Queens County

9. DATE OF BIRTH 2  19, 1922

10. AGE in  Years48  Months10  Days26 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Grocery Store Manager

13. Date last worked August 21, 1970       14. Total years

15. If married name of spouse

16. NAME of Father Parke Smith

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Elaine Fisk Daley

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs. Raymond Savage

      address 436 Spring St., R.F.D. Whitman, Mass.

      Relationship to deceased Sister

21. Place of burial North Brookfield

      Date of burial January 17, 1971

22. Undertaker Chandler's Funeral Home, Liverpool

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 14, 1971

CAUSE OF DEATH

(a) Manic Depression

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493357

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