Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Gladys Allison Smith death at Annapolis Royal, Annapolis County on March 10, 1971

Female Death Registration: Year: 1971 number: 2123

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 002123

1. PLACE OF DEATH   County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Wolfe's Nursing Home

3. PRINT NAME OF DECEASED Smith, Gladys Allison

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Sackville, New Brunswick

9. DATE OF BIRTH 12  6, 1887

10. AGE in  Years83  Months3  Days4 | hrs or mins

11. Trade or profession Retired Housewife

12. Kind of industry

13. Date last worked 1965       14. Total years 45

15. If married name of spouse

16. NAME of Father Dr Bryan Crane  Borden

17. BIRTHPLACE Avonport Nova Scotia

18. NAME of Mother Alice Bluck

19. BIRTHPLACE Hamilton, Bermuda

20. Signature of Informant Barbara B Ferguson

      address 16 Overdale Lane, Dartmouth

      Relationship to deceased Daughter

21. Place of burial Woodlawn Cemetery, Annapolis Royal, NS

      Date of burial March 13, 1971

22. Undertaker Charles Dargie & Son Ltd, Annapolis Royal Nova Scotia

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH March 10, 1971

CAUSE OF DEATH

(a) Ureamia

(b) Arteriosclerosis

(c) Decubitas ulcer

other

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