Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Sophia Maud Smith death at Milton, Queens County on October 27, 1971
Female Death Registration: Year: 1971 number: 6405
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006405
1. PLACE OF DEATH County of Queens If in City or Town Milton
If death occured in a hospital or institution Nursing Home
3. PRINT NAME OF DECEASED Smith, Annie Sophia Maud
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Mersey Point
9. DATE OF BIRTH 7 31, 1875
10. AGE in Years96 Months2 Days26 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Housekeeper
13. Date last worked 1952 14. Total years
15. If married name of spouse
16. NAME of Father John Joseph Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Ann Corkum
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Alice V. Hartlin
address Milton
Relationship to deceased Trustee
21. Place of burial Liverpool
Date of burial October 29, 1971
22. Undertaker Chandlers Funeral Services Ltd. Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 27, 1971
CAUSE OF DEATH
(a) Senility
(b) Arteriosclerosis
(c)
other
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