Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Albert William Smith death at Halifax, Halifax County on December 18, 1971
Male Death Registration: Year: 1971 number: 7616
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007616
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Smith, Albert William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE England
9. DATE OF BIRTH 1 13, 1911
10. AGE in Years60 Months11 Days5 | hrs or mins
11. Trade or profession Steward
12. Kind of industry MV William Carson
13. Date last worked July 1969 14. Total years 15
15. If married name of spouse Theresa Smith
16. NAME of Father George Smith
17. BIRTHPLACE England
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Theresa Smith
address Bras d'Or
Relationship to deceased Wife
21. Place of burial St. Joseph's Bras d'Or
Date of burial December 21, 1971
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 18, 1971
CAUSE OF DEATH
(a) Respiratory Failure
(b) Gastro Intestinal Bleeding
(c)
other
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