Male Death Registration: Year: 1971 number: 6538
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006538
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hosp.
3. PRINT NAME OF DECEASED Smith, Garman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 28, 1943
10. AGE in Years28 Months1 Days17 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry At Dart. N.S.
13. Date last worked Nov 13/71 14. Total years Life
15. If married name of spouse Cola Mae Smith
16. NAME of Father William Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Downey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Cola Smith
address North Preston, Halifax Co., NS
Relationship to deceased Wife
21. Place of burial North Preston
Date of burial Nov. 18th 1971
22. Undertaker Dart. Funeral Home F. A. McDonald.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 14, 1971
CAUSE OF DEATH
(a) Multiple Injuries
(b) Fall from a height
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498611
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