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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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493091
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