Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Thomas Joseph Provo death at North Preston, Halifax County on March 7, 1971

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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