Male Death Registration: Year: 1971 number: 3209
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003209
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Nova Scotia Sanitorium
3. PRINT NAME OF DECEASED Smith, Reuben Austin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 6, 1913
10. AGE in Years58 Months3 Days25 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry General labour work
13. Date last worked March 1/71 14. Total years Lifetime
15. If married name of spouse
16. NAME of Father James Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Balderidge
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Hospital Records
address
Relationship to deceased
21. Place of burial Scotch Village, Hants Co. NS
Date of burial May 5, 1971
22. Undertaker John P Ceanerb(?), Kentville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 1, 1971
CAUSE OF DEATH
(a) Carcinoma of Larynx
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495285
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