Male Death Registration: Year: 1971 number: 6950
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006950
1. PLACE OF DEATH County of Inverness If in City or Town Hillsborough
3. PRINT NAME OF DECEASED Smith, Russell John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Hillsboro
9. DATE OF BIRTH 11 26, 1907
10. AGE in Years63 Months11 Days7 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 2 November 1971 14. Total years 40 years
15. If married name of spouse
16. NAME of Father Theophilus Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Cassie Jane Adams
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gault Smith
address RR #2, Mabou
Relationship to deceased Nephew
21. Place of burial Hillsboro, Inverness Co., NS
Date of burial 4 November 1971
22. Undertaker Thompson & Haverstock Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 2, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499023
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