Female Death Registration: Year: 1971 number: 4425
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004425
1. PLACE OF DEATH County of Cumberland If in City or Town Millvale
3. PRINT NAME OF DECEASED Smith, Mary Ethel
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 20, 1883
10. AGE in Years88 Months1 Days19 | hrs or mins
11. Trade or profession Homework
12. Kind of industry
13. Date last worked 1970 14. Total years 65 yrs
15. If married name of spouse Dewitt Smith
16. NAME of Father Silas Purdy
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Hunter
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Dewitt Smith
address RR #1, Collingwood, Cumb. Co., NS
Relationship to deceased Husband
21. Place of burial Amherst, NS
Date of burial July 11, 1971
22. Undertaker F A. Black, Oxford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 9, 1971
CAUSE OF DEATH
(a) Myocardial Failure
(b) Myocardial Degeneration
(c)
other Cerebral Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496500
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