Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Joseph John Smith death at Amherst, Cumberland County on September 29, 1971
Male Death Registration: Year: 1971 number: 6006
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006006
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, Joseph John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Charlottetown, Prince Edward Island
9. DATE OF BIRTH 2 23, 1887
10. AGE in Years84 Months7 Days6 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 25 years ago 14. Total years life
15. If married name of spouse Margaret Hay
16. NAME of Father William Smith
17. BIRTHPLACE England
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Layton R. Hollis
address Port Howe
Relationship to deceased Nephew
21. Place of burial Chapman Settlement
Date of burial October 1, 1971
22. Undertaker Furlong's Funeral Home Ltd. Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 29, 1971
CAUSE OF DEATH
(a) L. Venticular facture
(b)
(c)
other
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