Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Franklin Asa Smith death at Chaplin, Halifax County on February 9, 1971
Male Death Registration: Year: 1971 number: 2272
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002272
1. PLACE OF DEATH County of Halifax If in City or Town Chaplin
If death occured in a hospital or institution at Home
3. PRINT NAME OF DECEASED Smith, Franklin Asa
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Wood Harbour
9. DATE OF BIRTH 8 10, 1902
10. AGE in Years68 Months5 Days30 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1966 14. Total years Life
15. If married name of spouse Bessie Smith
16. NAME of Father Austin Smith
17. BIRTHPLACE NS
18. NAME of Mother Delphine Sears
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Franklin Smith
address Chaplin, NS
Relationship to deceased Wife
21. Place of burial Upper Musquodoboit, NS
Date of burial 12 Feb 71
22. Undertaker Ettinger Funeral Service Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 9, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Laundrys Descending Paralysis
(c) Arteriosclerosis
other
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