Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Reginald Herman Smith death at West Baccaro, Shelburne County on May 12, 1971
Male Death Registration: Year: 1971 number: 3353
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003353
1. PLACE OF DEATH County of Shelburne If in City or Town West Baccaro
3. PRINT NAME OF DECEASED Smith, Reginald Herman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 8, 1916
10. AGE in Years54 Months6 Days4 | hrs or mins
11. Trade or profession Fish Handler
12. Kind of industry
13. Date last worked May 10, 1971 14. Total years 6 yrs
15. If married name of spouse Nellie Smith
16. NAME of Father Roscoe Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Blanche Madden
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Nellie Smith
address Baccaro, NS
Relationship to deceased Wife
21. Place of burial Port La Tour, NS
Date of burial May 15, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 12, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Ischemic Heart Disease
(c)
other Old Myocardial Infarction
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