Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel Isaac Smith death at New Waterford, Cape Breton County on September 27, 1971
Male Death Registration: Year: 1971 number: 5877
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005877
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Consolidated Hospital
3. PRINT NAME OF DECEASED Smith, Daniel Isaac
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Inverness
9. DATE OF BIRTH 2 23, 1889
10. AGE in Years82 Months7 Days4 | hrs or mins
11. Trade or profession Janitor
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Alexander Smith
17. BIRTHPLACE Inverness, NS
18. NAME of Mother Mira MacLean
19. BIRTHPLACE Inverness,NS
20. Signature of Informant John Smith
address 33 Arthur St., New Waterford
Relationship to deceased Brother
21. Place of burial Union Grove Cemetery, Scotchtown, C Breton
Date of burial Sept. 30, 1971
22. Undertaker V.J. McGillivray Funeral Homes Limited, New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 27, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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