Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Wellesley Freeman Smith death at Yarmouth, Yarmouth County on December 18, 1971
Male Death Registration: Year: 1971 number: 7332
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007332
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Smith, Wellesley Freeman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Baccaro
9. DATE OF BIRTH 9 22, 1891
10. AGE in Years80 Months2 Days26 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Arthur Smith
17. BIRTHPLACE Shelburne County
18. NAME of Mother Susan Kenney
19. BIRTHPLACE Shelburne County
20. Signature of Informant J. Thomas Smith
address Port Maitland
Relationship to deceased Son
21. Place of burial Port Maitland
Date of burial December 20, 1971
22. Undertaker Sweenys Funeral Home Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 18, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) ASHD
(c)
other
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