Male Death Registration: Year: 1971 number: 5041
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005041
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution D.O.A. at Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Smith, Danford Hiriam
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Scotch Village
9. DATE OF BIRTH 6 12, 1893
10. AGE in Years78 Months2 Days1 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1966 14. Total years 55
15. If married name of spouse Abbie Parker
16. NAME of Father Elmer Smith
17. BIRTHPLACE NS
18. NAME of Mother Mary Ann Sanford
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Lewis Reynolds
address Upper Burlington
Relationship to deceased Daughter
21. Place of burial Scotch Village, NS
Date of burial Aug 16, 1971
22. Undertaker Lohnes Funeral Service Ltd., Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 13, 1971
CAUSE OF DEATH
(a) Coronary Artery Occlusion
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497115
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