Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Maurice Smith death at Halifax, Halifax County on November 12, 1971
Male Death Registration: Year: 1971 number: 6531
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006531
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Smith, Maurice
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 25, 1899
10. AGE in Years72 Months5 Days18 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1951 14. Total years 30 years
15. If married name of spouse Eva Smith
16. NAME of Father Howard Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Delilah Stoddard
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Freda Smith
address Clarks Harbour, Shelburne Co., NS
Relationship to deceased Daughter
21. Place of burial Clarks Harbour, Shelburne Co., NS
Date of burial 14 November 1971
22. Undertaker Kenny Funeral Services, Barrington, Shelburne Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 12, 1971
CAUSE OF DEATH
(a) Cancer of Lung with Metastases to Ribs
(b)
(c)
other
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