Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Josephine Lila Smith death at Yarmouth, Yarmouth County on May 17, 1971
Female Death Registration: Year: 1971 number: 3467
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003467
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Smith, Josephine Lila
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 6, 1896
10. AGE in Years74 Months7 Days11 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked June 1970 14. Total years 56 yrs
15. If married name of spouse Charles Smith
16. NAME of Father George E. Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maretta Penney
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Charles Smith
address West Head, Shel. Co.
Relationship to deceased Husband
21. Place of burial West Head
Date of burial May 19, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 17, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other
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