Female Death Registration: Year: 1971 number: 3962
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003962
1. PLACE OF DEATH County of Shelburne If in City or Town Lockeport
If death occured in a hospital or institution Surf Lodge Nursing Home, Lockeport, Shelburne Co., NS
3. PRINT NAME OF DECEASED Smith, Winnifred Stuart
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 9, 1888
10. AGE in Years83 Months1 Days4 | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked 1966 14. Total years 61 yrs
15. If married name of spouse Lloyd Smith
16. NAME of Father Morton Wilson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Crowell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Stuart Hogg
address Barrington, NS
Relationship to deceased Son
21. Place of burial Barrington, NS
Date of burial June 15, 1971
22. Undertaker Kenney Funeral Services, Barrington, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 13, 1971
CAUSE OF DEATH
(a) Pulmonary Oedema
(b) Congestive Heart Failure
(c) Arteriosclerotic Heart Disease
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496038
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