Male Death Registration: Year: 1971 number: 5470
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005470
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Smith, Leonard John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Pugwash
9. DATE OF BIRTH 2 2, 1897
10. AGE in Years74 Months6 Days9 | hrs or mins
11. Trade or profession General Superintendant
12. Kind of industry City of Sydney
13. Date last worked 4 years ago 14. Total years
15. If married name of spouse
16. NAME of Father Benjamin Smith
17. BIRTHPLACE Pugwash, NS
18. NAME of Mother Elilzabeth Wood
19. BIRTHPLACE Pugwash, NS
20. Signature of Informant Mrs. Jeanett MacDonald
address 166 Vulcan Ave., Sydney, NS
Relationship to deceased Daughter
21. Place of burial Hardwood Hill Cemetery, Sydney, NS
Date of burial August 14, 1971
22. Undertaker R. H. Fillmore Funeral Home Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 11, 1971
CAUSE OF DEATH
(a) Bronchial Pneumonia
(b) Diabetes Mellitus
(c) Atherosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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