Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gordon William Smith death at Halifax, Halifax County on January 24, 1971
Male Death Registration: Year: 1971 number: 1291
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001291
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Smith, Gordon William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE halifax
9. DATE OF BIRTH 12 15, 1911
10. AGE in Years51 Months1 Days9 | hrs or mins
11. Trade or profession Projectionist
12. Kind of industry Theatre business
13. Date last worked Aug 1970 14. Total years 37
15. If married name of spouse Alice Evelyn Smith
16. NAME of Father William Smith
17. BIRTHPLACE Halifax
18. NAME of Mother Frances Roach
19. BIRTHPLACE Halifax
20. Signature of Informant Alice Evelyn Smith
address 2553 Joseph St., Hfx.
Relationship to deceased Wife
21. Place of burial Gate of Heaven, Lr. Sack.
Date of burial January 26, 1971
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 24, 1971
CAUSE OF DEATH
(a) Carcinoma Sigmoid Colon
(b) metastasis
(c)
other
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