Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert James Smith death at Truro, Colchester County on August 23, 1971
Male Death Registration: Year: 1971 number: 5255
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005255
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital, Truro, NS
3. PRINT NAME OF DECEASED Smith, Robert James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 17, 1903
10. AGE in Years68 Months3 Days6 | hrs or mins
11. Trade or profession CN employee
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mrs. Robert J. Smith
16. NAME of Father William Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sahara MacLeod
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Robert J. Smith
address 1219 Prince St. Truro
Relationship to deceased Wife
21. Place of burial Watson Cemetery, Salmon River, NS
Date of burial August 25, 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 23, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Emphysema with
(c) Respiratory Failure
other
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