Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bertram Gage Smiley death at Ellershouse, Hants County on November 25, 1971
Male Death Registration: Year: 1971 number: 6943
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006943
1. PLACE OF DEATH County of Hants If in City or Town Ellershouse
3. PRINT NAME OF DECEASED Smiley, Bertram Gage
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Dover, New Hampshire, USA
9. DATE OF BIRTH 10 13, 1899
10. AGE in Years72 Months1 Days12 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Maintenance
13. Date last worked 1964 14. Total years 10 years
15. If married name of spouse Maribelle Smiley
16. NAME of Father Samuel Smiley
17. BIRTHPLACE USA
18. NAME of Mother Cora Gage
19. BIRTHPLACE USA
20. Signature of Informant Mrs. June Lively
address Beaverbank, Halifax Co., NS
Relationship to deceased Daughter
21. Place of burial St. Croix, Hants Co., NS
Date of burial 27 November 1971
22. Undertaker R. D. Lindsay, Bedford, Halifax Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 25, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Angina Pectoris
(c)
other
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