Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Henry Charles Smith death at Amherst, Cumberland County on September 26, 1971
Male Death Registration: Year: 1971 number: 6005
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006005
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, Henry Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE River Hebert
9. DATE OF BIRTH 10 23, 1904
10. AGE in Years69 Months11 Days3 | hrs or mins
11. Trade or profession Coal miner
12. Kind of industry
13. Date last worked 1952 14. Total years 35
15. If married name of spouse Mary Smith
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Reta Smith
19. BIRTHPLACE River Hebert
20. Signature of Informant Henry L. Smith
address P.O. Box 46 Parrsboro
Relationship to deceased Son
21. Place of burial River Hebert
Date of burial September 28, 1971
22. Undertaker Furlong's Funeral Home Ltd. Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 26, 1971
CAUSE OF DEATH
(a) Toxic myocarditis
(b)
(c)
other
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