Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Milton Goddard Smith death at Cole Harbour, Halifax County on April 13, 1971
Male Death Registration: Year: 1971 number: 3043
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003043
1. PLACE OF DEATH County of Halifax If in City or Town Cole Harbour
If death occured in a hospital or institution Halifax County Hospital
3. PRINT NAME OF DECEASED Smith, Milton Goddard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 13, 1894
10. AGE in Years76 Months7 Days | hrs or mins
11. Trade or profession Farmer
12. Kind of industry self
13. Date last worked 14. Total years
15. If married name of spouse Jeanette Barry
16. NAME of Father Frank W. Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Murray
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Jeanette Smith
address R.R. 3 Saltsprings
Relationship to deceased wife
21. Place of burial Heatherdale Memorial Gardens Sylvester, Pictou Co., NS
Date of burial April 16, 1971
22. Undertaker Eagles Funeral Home, Westville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 13, 1971
CAUSE OF DEATH
(a) Broncho pneumonia
(b) Arteriosclerotic Heart disease
(c)
other Senile Dementia
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