Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jess Brooks death at East Preston, Halifax County on October 15, 1970
Male Death Registration: Year: 1970 number: 6200
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006200
1. PLACE OF DEATH County of Halifax If in City or Town East Preston
3. PRINT NAME OF DECEASED Brooks, Jess
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
widowed
8. BIRTHPLACE East Preston
9. DATE OF BIRTH 5 1, 1873
10. AGE in Years97 Months5 Days14 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Brooks
17. BIRTHPLACE East Preston
18. NAME of Mother Nancy Deer
19. BIRTHPLACE East Preston
20. Signature of Informant George Brooks
address East Preston
Relationship to deceased Son
21. Place of burial East Preston
Date of burial October 18, 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 15, 1970
CAUSE OF DEATH
(a) Myocarditic acute failure
(b)
(c)
other
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