Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clara Elizabeth Smith death at Yarmouth, Yarmouth County on May 22, 1971
Female Death Registration: Year: 1971 number: 3626
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003626
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Smith, Clara Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 3 25, 1892
10. AGE in Years79 Months1 Days27 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 1970 14. Total years 50 yrs
15. If married name of spouse
16. NAME of Father Samuel Smith
17. BIRTHPLACE Yarmouth, NS
18. NAME of Mother Mary Oliver Russell
19. BIRTHPLACE Yarmouth, NS
20. Signature of Informant Mrs. Madeline LeBlanc
address 5 Store Street, Yarmouth
Relationship to deceased Sister
21. Place of burial Mt. Calvary Cemetery, Yarmouth, NS
Date of burial May 25, 1971
22. Undertaker H. M. Huskilson Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 22, 1971
CAUSE OF DEATH
(a) Cardiovascular Thrombosis
(b)
(c)
other Carcinoma both breasts and (illegible) duct insitu
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