Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sidney Smith death at Sydney, Cape Breton County on August 17, 1971
Male Death Registration: Year: 1971 number: 5115
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005115
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
3. PRINT NAME OF DECEASED Smith, Sidney
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Sydney, CB.
9. DATE OF BIRTH 8 8, 1904
10. AGE in Years67 Months Days9 | hrs or mins
11. Trade or profession Fireman
12. Kind of industry Captain, Sydney
13. Date last worked 2 yrs 14. Total years
15. If married name of spouse Annie Snow Smith
16. NAME of Father William Smith
17. BIRTHPLACE Nfld
18. NAME of Mother Christena Smith
19. BIRTHPLACE Harbour Grace, Nfld
20. Signature of Informant Sid Smith
address 119 Catherine Street, Sydney, NS
Relationship to deceased Son
21. Place of burial Hardwood Hill Cemetery, Sydney, NS
Date of burial Aug 21, 1971
22. Undertaker R. H. Fillmore Funeral Home Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 17, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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