Female Death Registration: Year: 1970 number: 4624
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004624
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Brown, Mary Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE
9. DATE OF BIRTH 5 4, 1871
10. AGE in Years99 Months2 Days26 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. French
address 3900 Gottingen Street, Halifax
Relationship to deceased None
21. Place of burial Fairview Cemetery, Halifax
Date of burial 3 August 1970
22. Undertaker Snow & Co., Ltd, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 30, 1970
CAUSE OF DEATH
(a) Senility
(b)
(c)
other Simple Schizophrenia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489933
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