Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Diane Faye Tolliver death at Halifax, Halifax County on January 16, 1971
Female Death Registration: Year: 1971 number: 2079
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002079
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaak Walton Killam Hospt.
3. PRINT NAME OF DECEASED Tolliver, Diane Faye
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 3 24, 1968
10. AGE in Years2 Months9 Days23 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Charles Tolliver
17. BIRTHPLACE Halifax Co.
18. NAME of Mother Patricia Diggs
19. BIRTHPLACE East Preston
20. Signature of Informant Charles Tolliver
address East Preston, Hfx Co.
Relationship to deceased father
21. Place of burial East Preston
Date of burial January 19, 1971
22. Undertaker A.L. Mattatall F. Service Ltd., 217 Portland St., Dart.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1971
CAUSE OF DEATH
(a) Query Meningitis
(b) Burns to lower extremities
(c)
other Query septicemia Ilieu rectal anastomosis for Hirchsprung's Disease Accident: slipped into hot bath
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Note: African Nova Scotian