Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Dwyer Smith death at New Glasgow, Pictou County on June 27, 1971
Male Death Registration: Year: 1971 number: 4306
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004306
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Smith, John Dwyer
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 4 8, 1907
10. AGE in Years64 Months2 Days19 | hrs or mins
11. Trade or profession Typesetter
12. Kind of industry Evening News Office
13. Date last worked 14. Total years
15. If married name of spouse Margaret Hall
16. NAME of Father Sydney Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Dwyer
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. John Smith
address 141 MacIntosh St., New Glasgow, NS
Relationship to deceased Wife
21. Place of burial Lorne St. Cemetery, New Glasgow, NS
Date of burial June 29, 1971
22. Undertaker R. H. Porter Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 27, 1971
CAUSE OF DEATH
(a) Metastatic Carcinoma
(b) Carcinoma of Prostate
(c)
other
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