Male Death Registration: Year: 1971 number: 5449
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005449
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Willow Nursing Home
3. PRINT NAME OF DECEASED Smith, Francis David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 3 31, 1887
10. AGE in Years84 Months5 Days13 | hrs or mins
11. Trade or profession Barrister
12. Kind of industry
13. Date last worked 1966 14. Total years 55 yrs
15. If married name of spouse Una Belle Smith
16. NAME of Father Francis David Smith
17. BIRTHPLACE England
18. NAME of Mother Mary MacNeil
19. BIRTHPLACE Scotland
20. Signature of Informant Dr. Donald F. Smith
address 995 Beaufort Ave., Halifax
Relationship to deceased son
21. Place of burial Fairview Cemetery, Hfx.
Date of burial Sept 15, 1971
22. Undertaker Halifax Funeral Home, Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 13, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Cerebrovascular accident
(c)
other Chronic Pyelonephritis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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