Male Death Registration: Year: 1971 number: 7389
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007389
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Smith, John Wilberforce
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Truemanville
9. DATE OF BIRTH 9 5, 1888
10. AGE in Years83 Months3 Days20 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1970 14. Total years Life
15. If married name of spouse Myrtle Smith
16. NAME of Father Abel Smith
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Sherrill
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. John W. Smith
address East Amherst, NS
Relationship to deceased Wife
21. Place of burial Oxford, NS
Date of burial December 28, 1971
22. Undertaker Furlong's Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 25, 1971
CAUSE OF DEATH
(a) Congestive Failure
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499461
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