Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bertha Black death at Halifax, Halifax County on August 21, 1970
Female Death Registration: Year: 1970 number: 5025
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005025
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Black, Bertha
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 11, 1898
10. AGE in Years72 Months4 Days10 | hrs or mins
11. Trade or profession Housework
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse Earl J. Black
16. NAME of Father Gilbert Hamilton
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ada Grosse
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Reginald Hamilton
address Beechville
Relationship to deceased Brother
21. Place of burial Beechville Baptist Cemetery
Date of burial August 24, 1970
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 21, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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