Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Lamert Dawson Smith death at Amherst, Cumberland County on May 2, 1971

Male Death Registration: Year: 1971 number: 3411

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003411

1. PLACE OF DEATH   County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital

3. PRINT NAME OF DECEASED Smith, Lamert Dawson

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Linden

9. DATE OF BIRTH 1  26, 1888

10. AGE in  Years83  Months3  Days6 | hrs or mins

11. Trade or profession Farmer

12. Kind of industry Labour

13. Date last worked about 4 yrs ago       14. Total years Life

15. If married name of spouse Cora B. Smith

16. NAME of Father Alexander M. Smith

17. BIRTHPLACE Cumb. Co. NS

18. NAME of Mother Evelyn Smith

19. BIRTHPLACE Cumb. Co. NS

20. Signature of Informant Kenneth F. Smith

      address 23 Allison Ave. Amherst

      Relationship to deceased Son

21. Place of burial Linden, NS

      Date of burial May 4, 1971

22. Undertaker Furlong's Funeral Home Limited, Amherst, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH May 2, 1971

CAUSE OF DEATH

(a) Congestive Heart Failure

(b) Cerebrovascular Accident

(c)

other

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