Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Eliza V. Brooks death at Halifax, Halifax County on November 15, 1970
Female Death Registration: Year: 1970 number: 6911
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006911
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 Brooks, Eliza V.
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 1 3, 1898
10. AGE in Years72 Months10 Days12 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Arthur
16. NAME of Father John Brooks
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Kain
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Lillian Parks
address H Block, Apt 200, Mulgrave Pk, Halifax
Relationship to deceased Daughter
21. Place of burial East Preston
Date of burial Nov. 17, 1970
22. Undertaker Snow & Co. Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 15, 1970
CAUSE OF DEATH
(a) Tuberculous Meningitis
(b) Pulmonary Tuberculosis
(c)
other
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