Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Smith death at Antigonish, Antigonish County on May 18, 1971
Female Death Registration: Year: 1971 number: 3561
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003561
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Smith, Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Christmas Island, CB County
9. DATE OF BIRTH 4 30, 1902
10. AGE in Years69 Months Days18 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Home
13. Date last worked 14. Total years
15. If married name of spouse John Ronald Smith
16. NAME of Father James MacNeil
17. BIRTHPLACE NS
18. NAME of Mother Mary MacIntyre
19. BIRTHPLACE NS
20. Signature of Informant James Smith
address 97 Church St., Antigonish, NS
Relationship to deceased Son
21. Place of burial St. Ninian RC Cemetery, Antigonish, NS
Date of burial May 21 1971
22. Undertaker Curry Brothers Funeral Directors Ltd., Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 18, 1971
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Coronary Artery Disease
(c) Diabetes Mellitus
other
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