Male Death Registration: Year: 1971 number: 2159
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002159
1. PLACE OF DEATH County of Halifax If in City or Town North Preston
3. PRINT NAME OF DECEASED Provo, Thomas Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 15, 1912
10. AGE in Years58 Months10 Days20 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry At Dart
13. Date last worked Jan 1971 14. Total years Life
15. If married name of spouse Mrs. Helen Provo
16. NAME of Father Joseph Provo
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Barbara Wilson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Helen Provo
address North Preston
Relationship to deceased Wife
21. Place of burial North Preston
Date of burial March 11, 1971
22. Undertaker Dart. Funeral Home.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 7, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Arteriosclerosis
(c)
other
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494236
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