Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frederick Alexander Smith death at Sydney, Cape Breton County on December 12, 1971
Male Death Registration: Year: 1971 number: 7180
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007180
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
3. PRINT NAME OF DECEASED Smith, Frederick Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Rankinville, Inverness County, N.S
9. DATE OF BIRTH 2 20, 1892
10. AGE in Years79 Months9 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry CNR
13. Date last worked 1950 14. Total years 46
15. If married name of spouse
16. NAME of Father John William Smith
17. BIRTHPLACE Hillsboro, Inverness County
18. NAME of Mother Annie MacFarlane
19. BIRTHPLACE Mull River, Inverness County, Nova Scotia
20. Signature of Informant Earl A Smith
address Inverness County, Nova Scotia
Relationship to deceased Son
21. Place of burial
Date of burial December 15, 1971
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 12, 1971
CAUSE OF DEATH
(a) Arteriosclerosis
(b) Cardiac Disease
(c) Gangrene and left foot amputation
other
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