Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Guy Wellington Smith death at Amherst, Cumberland County on August 27, 1971
Male Death Registration: Year: 1971 number: 5359
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005359
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Smith, Guy Wellington
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Shinimicas
9. DATE OF BIRTH 11 26, 1886
10. AGE in Years84 Months9 Days1 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1965 14. Total years life
15. If married name of spouse Carrie A. Smith
16. NAME of Father James B. Smith
17. BIRTHPLACE Cumb. Co., NS
18. NAME of Mother Jane Wood
19. BIRTHPLACE Cumb. Co., NS
20. Signature of Informant Edsel M. Smith
address 19 Park St, Amherst, NS
Relationship to deceased Son
21. Place of burial Shinimicas, NS
Date of burial August 30, 1971
22. Undertaker Furlong's Funeral Home Ltd. Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 27, 1971
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Arteriosclerotic Heart Disease
(c)
other
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