Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Philip Smith death at Mira River, Cape Breton County on July 27, 1971
Male Death Registration: Year: 1971 number: 4919
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004919
1. PLACE OF DEATH County of Cape Breton If in City or Town Mira River
If death occured in a hospital or institution Mira River
3. PRINT NAME OF DECEASED Smith, Philip
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 12 23, 1955
10. AGE in Years15 Months7 Days4 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Frederick Joseph Smith
17. BIRTHPLACE Cape Breton
18. NAME of Mother Theresa Stapleton
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mr. Frederick Smith
address R 225 King's Road, Sydney
Relationship to deceased Father
21. Place of burial Resurrection Cemetery, Sydney Forks
Date of burial July 30, 1971
22. Undertaker T.W. Curry Limited, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 27, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident: drown while swimming
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