Male Death Registration: Year: 1971 number: 4377
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004377
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa
3. PRINT NAME OF DECEASED Smith, Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Reserve Mines
9. DATE OF BIRTH 9 10, 1905
10. AGE in Years65 Months7 Days28 | hrs or mins
11. Trade or profession Cape Breton Hospital
12. Kind of industry
13. Date last worked 1959 14. Total years
15. If married name of spouse Ethel McDonald
16. NAME of Father Alex Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lorna McDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Howard Chiasson
address Reserve Mines, CB, NS
Relationship to deceased Legion Member
21. Place of burial St. Joseph's Cemetery, Reserve Mines, CB, NS
Date of burial May 11, 1971
22. Undertaker Curry's Funeral Home, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 8, 1971
CAUSE OF DEATH
(a) Chronic Degenerative Myocarditis
(b) Several attacks - coronary infarction
(c) Arteriosclerosis
other Organic Brain Disease (Alcoholism)
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496452
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