Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Basil Reeves Smith death at Halifax, Halifax County on June 20, 1971
Male Death Registration: Year: 1971 number: 4595
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004595
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Grace Maternity Hospital
3. PRINT NAME OF DECEASED Smith, Basil Reeves
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 20, 1971
10. AGE in Years Months Days | 18 hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Leroy Smith
17. BIRTHPLACE NS
18. NAME of Mother Beulah Andrews
19. BIRTHPLACE NS
20. Signature of Informant Leroy Smith
address Shubenacadie, NS
Relationship to deceased Father
21. Place of burial Belnan Cemetery
Date of burial 23 June'71
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 20, 1971
CAUSE OF DEATH
(a) Respiratory Distress Syndrome
(b) Prematurity
(c)
other
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