Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Isaac Ashmore Smith death at Sherbrooke, Guysborough County on September 2, 1971

Male Death Registration: Year: 1971 number: 5624

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005624

1. PLACE OF DEATH   County of Guysborough If in City or Town Sherbrooke
If death occured in a hospital or institution St. Mary's Hospital

3. PRINT NAME OF DECEASED Smith, Isaac Ashmore

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Irish

7. Single, Married

widowed

8. BIRTHPLACE Smithfield, Guysborough County

9. DATE OF BIRTH 10  24, 1887

10. AGE in  Years83  Months10  Days9 | hrs or mins

11. Trade or profession Retired Farmer

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father John Smith

17. BIRTHPLACE Smithfield, Guysborough Co., NS

18. NAME of Mother Jennie Taylor

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Edwin Smith

      address Smithfield, Guysborough Co., NS

      Relationship to deceased Son

21. Place of burial Smithfield, Guysborough Co., NS

      Date of burial 4 September 1971

22. Undertaker Vienotte & Sons Funeral Service Ltd.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 2, 1971

CAUSE OF DEATH

(a) Cardiovascular Renal Disease

(b)

(c)

other Hypostatic Pneumonia

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