Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bliss Campbell Smith death at Shinimicas, Cumberland County on July 29, 1971
Male Death Registration: Year: 1971 number: 4794
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004794
1. PLACE OF DEATH County of Cumberland If in City or Town Shinimicas
3. PRINT NAME OF DECEASED Smith, Bliss Campbell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Shinimicas
9. DATE OF BIRTH 12 1, 1894
10. AGE in Years76 Months7 Days28 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 2 yrs ago 14. Total years life
15. If married name of spouse Blanche S Smith
16. NAME of Father Lawrence Smith
17. BIRTHPLACE Shinimicas, NS
18. NAME of Mother Bessie Wood
19. BIRTHPLACE Shinimicas, NS
20. Signature of Informant Wyman R Smith
address 33 Belfast St. West Riverview, NB
Relationship to deceased Son
21. Place of burial Shinimicas, NS
Date of burial August 1, 1971
22. Undertaker Furlong's Funeral Home Ltd. Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 29, 1971
CAUSE OF DEATH
(a) Age
(b) Gastro Intestinal Upset
(c)
other Carcinoma Prostate
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