Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Catherine Tolliver death at Halifax, Halifax County on March 7, 1971
Female Death Registration: Year: 1971 number: 2111
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002111
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 Tolliver, Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE East Preston
9. DATE OF BIRTH , 1907
10. AGE in Years63 Months Days | 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 Benjamin Tolliver
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mildred Crawley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Charles Tolliver
address East Preston
Relationship to deceased Brother
21. Place of burial East Preston
Date of burial March 10, 1971
22. Undertaker A.L. Mattatall Fun Serv Ltd, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 7, 1971
CAUSE OF DEATH
(a) Myocarditis with heart failure
(b) arteriosclerosis
(c) with hypertension
other
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Note: African Nova Scotian