Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Raymond Charles Smith death at Port Maitland, Yarmouth County on November 25, 1971
Male Death Registration: Year: 1971 number: 6985
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006985
1. PLACE OF DEATH County of Yarmouth If in City or Town Port Maitland
3. PRINT NAME OF DECEASED Smith, Raymond Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sandford, Yarmouth County
9. DATE OF BIRTH 9 3, 1904
10. AGE in Years67 Months2 Days22 | hrs or mins
11. Trade or profession Retired Fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Florence Smith
16. NAME of Father John L. Smith
17. BIRTHPLACE Bear Point, Shelburne Co., NS
18. NAME of Mother Thressa Sollows
19. BIRTHPLACE Port Maitland, Yarmouth Co., NS
20. Signature of Informant Mrs. Florence Smith
address Port Maitland, Yarmouth Co., NS
Relationship to deceased Wife
21. Place of burial Port Maitland, Yarmouth Co., NS
Date of burial 28 November 1971
22. Undertaker Sweeny's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 25, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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