Male Death Registration: Year: 1971 number: 4165
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004165
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital, Windsor, NS
3. PRINT NAME OF DECEASED Smith, Harry Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Kingsport
9. DATE OF BIRTH 9 28, 1896
10. AGE in Years74 Months8 Days28 | hrs or mins
11. Trade or profession Retired
12. Kind of industry NS Light & Power
13. Date last worked 1961 14. Total years 38
15. If married name of spouse Harriett Flynn
16. NAME of Father Charles Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Norman Power
address Kentville, NS
Relationship to deceased Daughter
21. Place of burial St. Croix, NS
Date of burial June 28,1971
22. Undertaker R. D. Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 26, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496240
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