Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel Wilbur Smith death at Riverton, Pictou County on January 6, 1971
Male Death Registration: Year: 1971 number: 2310
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002310
1. PLACE OF DEATH County of Pictou If in City or Town Riverton
If death occured in a hospital or institution Pictou County Home
3. PRINT NAME OF DECEASED Smith, Daniel Wilbur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Merigomish
9. DATE OF BIRTH 4 12, 1876
10. AGE in Years94 Months8 Days25 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer.
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Walter Smith
17. BIRTHPLACE Nova Scotia.
18. NAME of Mother Sarah Arbuckle
19. BIRTHPLACE Nova Scotia.
20. Signature of Informant Mr Lloyd Smith.
address Merigomish, Pictou Co. Nova Scotia.
Relationship to deceased Nephew.
21. Place of burial Murray's Point Cemetery, Pictou Co. Nova Scotia.
Date of burial January 9 1971.
22. Undertaker R.H Poter Funeral Homes LTD. Stellarton - Trenton - New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 6, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) mynuld (?) liver
(c) Influenza
other
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