Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Chandley Smith death at Sandy Point, Shelburne County on July 8, 1971
Male Death Registration: Year: 1971 number: 4460
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004460
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Smith, James Chandley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 11, 1882
10. AGE in Years88 Months7 Days27 | hrs or mins
11. Trade or profession Cooper
12. Kind of industry
13. Date last worked 1971 14. Total years 60 yrs
15. If married name of spouse Mrs. Blanch Smith
16. NAME of Father Emery Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother May Jean Lock
19. BIRTHPLACE Nova Scotia
20. Signature of Informant H. G. Smith
address Shelburne
Relationship to deceased Son
21. Place of burial Pine Grove Cemetery, Shelburne, NS
Date of burial July 12, 1971
22. Undertaker Huskilson's Funeral Home, Shelburne, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 8, 1971
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b) Cerebral Atherosclerosis
(c) Hypertension
other
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