Male Death Registration: Year: 1971 number: 3434
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003434
1. PLACE OF DEATH County of Halifax If in City or Town Hammonds Plains
3. PRINT NAME OF DECEASED Smith, Basil Leslie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 20, 1939
10. AGE in Years31 Months9 Days25 | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry
13. Date last worked 14 May 1971 14. Total years 9
15. If married name of spouse
16. NAME of Father Henry Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marion Boutilier
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Marion Smith
address Tantallon, Nova Scotia
Relationship to deceased Mother
21. Place of burial Glen Margaret Cemetery
Date of burial 18 May 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 15, 1971
CAUSE OF DEATH
(a) Accidental Drowning
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495510
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