Male Death Registration: Year: 1971 number: 2880
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002880
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Smith, William James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 1, 1888
10. AGE in Years82 Months8 Days13 | hrs or mins
11. Trade or profession Ret'd Coal Miner
12. Kind of industry Dom. Coal Co
13. Date last worked 1951 14. Total years 50 yrs
15. If married name of spouse Margaret May Smith
16. NAME of Father William Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Gardiner
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gordon Smith
address 75 Westmount Rd, Westmount, Sydney
Relationship to deceased Son
21. Place of burial Black Brook, Port Morien
Date of burial April 16, 1971
22. Undertaker Patten's Funeral Home LTD 71 Union St Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 14, 1971
CAUSE OF DEATH
(a) Carcinoma Lungs
(b) Bronchitis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494957
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