Male Death Registration: Year: 1971 number: 2997
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002997
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Smith, Reginald George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 4 2, 1893
10. AGE in Years78 Months Days25 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Stationary Store, Dartmouth
13. Date last worked Jan 1955 14. Total years 10 yrs
15. If married name of spouse Mrs Eleanor E. Smith
16. NAME of Father Alonzo Smith
17. BIRTHPLACE NS
18. NAME of Mother Catherine Kingston
19. BIRTHPLACE NS
20. Signature of Informant Eleanor E. Smith
address 26 Tulip St. Dartmouth, NS
Relationship to deceased Wife
21. Place of burial Mount Herman, Dart.
Date of burial April 29, 1971
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 27, 1971
CAUSE OF DEATH
(a) Respiratory Failure
(b) Chronic Obstructive lung Disease
(c)
other Cor Pulmonade Bronchiectasis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495074
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