Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Donald Graham Smith death at Cornwallis, Annapolis County on February 28, 1971
Male Death Registration: Year: 1971 number: 2226
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002226
1. PLACE OF DEATH County of Annapolis If in City or Town Cornwallis
If death occured in a hospital or institution Base Hospital, CFB Cornwallis
3. PRINT NAME OF DECEASED Smith, Donald Graham
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
single
8. BIRTHPLACE Winnipeg, Manitoba
9. DATE OF BIRTH 2 1, 1950
10. AGE in Years21 Months0 Days27 | hrs or mins
11. Trade or profession Recruit (untrained)
12. Kind of industry Canadian Armed Forces
13. Date last worked Feb 27 1971 14. Total years nil
15. If married name of spouse n/a
16. NAME of Father Donald Arthur Smith
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant J Albert Walker
address 149 Herring Rd, Hfx
Relationship to deceased none-phone informant
21. Place of burial Chilliwack, BC
Date of burial March 2 1971
22. Undertaker J Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 28, 1971
CAUSE OF DEATH
(a) Fulminating Meningococcal Septicemia
(b)
(c)
other
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