Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

John Brown death at Halifax, Halifax County on January 1, 1971

Male Death Registration: Year: 1971 number: 1013

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001013

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V. G. Hospital

3. PRINT NAME OF DECEASED Brown, John

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

African

7. Single, Married

married

8. BIRTHPLACE West Africa

9. DATE OF BIRTH 3  20, 1895

10. AGE in  Years75  Months9  Days12 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Laborer

13. Date last worked 1960       14. Total years Life

15. If married name of spouse Beatrice Brown

16. NAME of Father n/k n/k

17. BIRTHPLACE n/k

18. NAME of Mother n/k n/k

19. BIRTHPLACE n/k

20. Signature of Informant Beatrice Brown

      address 26 Alton Dr. (Armdale), Halifax

      Relationship to deceased wife

21. Place of burial Camp Hill, HFX.

      Date of burial January 4, 1971

22. Undertaker Cruikshank Funeral Home

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 1, 1971

CAUSE OF DEATH

(a) Myocardial Infarction

(b)

(c)

other

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