Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Smith death at Sydney, Cape Breton County on March 12, 1971
Female Death Registration: Year: 1971 number: 2513
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002513
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Smith, Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 1, 1886
10. AGE in Years85 Months2 Days11 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked December 1970 14. Total years 55
15. If married name of spouse Alexander Smith
16. NAME of Father Roderick MacDonald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Roderick Smith
address River Bennett, R.R.1, Englishtown
Relationship to deceased Son
21. Place of burial Pine Hill Cemetery, River Bennett
Date of burial March 14, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd., Sydney Mines N.S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 12, 1971
CAUSE OF DEATH
(a) Sub-trochanteric fracture right hip
(b) Pneumonia and malnutrition
(c)
other
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