Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Eleanor Elizabeth Smith death at Halifax, Halifax County on July 23, 1971
Female Death Registration: Year: 1971 number: 4708
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004708
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Smith, Mary Eleanor Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 8 7, 1926
10. AGE in Years44 Months11 Days16 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1 month ago 14. Total years life
15. If married name of spouse Edsel M. Smith
16. NAME of Father Lewis Fields
17. BIRTHPLACE Cumb. Co., NS
18. NAME of Mother Ethel Teed
19. BIRTHPLACE Cumb. Co., NS
20. Signature of Informant Edsel M. Smith
address 19 Park St., Amherst, NS
Relationship to deceased Husband
21. Place of burial Shinimicas, NS
Date of burial July 27, 1971
22. Undertaker Furlong's Funeral Home Ltd., Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 23, 1971
CAUSE OF DEATH
(a) Pulmonary Embolus
(b) Old (& New?) Myocardial Infarctions
(c) Congestive Heart Failure
other
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