Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Kathleen Smith death at Mount Denson, Hants County on April 19, 1971
Female Death Registration: Year: 1971 number: 3055
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003055
1. PLACE OF DEATH County of Hants If in City or Town Mount Denson
3. PRINT NAME OF DECEASED Smith, Mary Kathleen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 27, 1903
10. AGE in Years67 Months6 Days23 | hrs or mins
11. Trade or profession housewife
12. Kind of industry
13. Date last worked 1971 14. Total years 45 yrs
15. If married name of spouse Alfred Smith
16. NAME of Father H. P. Scott
17. BIRTHPLACE Windsor, NS
18. NAME of Mother Wilson
19. BIRTHPLACE Windsor, NS
20. Signature of Informant Alfred Smith
address Mount Denson, Hants Co., NS
Relationship to deceased Husband
21. Place of burial Mt. Denson Cemetery, Mount Denson
Date of burial April 22, 1971
22. Undertaker Lohnes Funeral Service Ltd., Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 19, 1971
CAUSE OF DEATH
(a) Acute coronary occlusion
(b) Arteriosclerosis
(c)
other Diabetes
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