Male Death Registration: Year: 1971 number: 1867
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001867
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Brooks, Densil
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Stellarton
9. DATE OF BIRTH 2 4, 1905
10. AGE in Years66 Months Days15 | hrs or mins
11. Trade or profession Foreman
12. Kind of industry Dominion Coal Co
13. Date last worked 14. Total years 25
15. If married name of spouse Elsie Brooks
16. NAME of Father William Brooks
17. BIRTHPLACE England
18. NAME of Mother Annie Kennedy
19. BIRTHPLACE England
20. Signature of Informant Mrs Elsie Brooks
address 15 Grove St, Glace Bay, NS
Relationship to deceased wife
21. Place of burial Glace Bay, CB
Date of burial February 22,1971
22. Undertaker Pattens Funeral Home Ltd, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 19, 1971
CAUSE OF DEATH
(a) Ca of Bladder x2 years
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493945
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