Male Death Registration: Year: 1971 number: 2780
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002780
1. PLACE OF DEATH County of Halifax If in City or Town Eastern Passage
If death occured in a hospital or institution Ocean View Manor
3. PRINT NAME OF DECEASED Sparks, Walter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE Cherry Brook, Hfx. County N.S
9. DATE OF BIRTH 12 20, 1891
10. AGE in Years79 Months3 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer Dartmouth
13. Date last worked Jan. 1965 14. Total years Life
15. If married name of spouse Mrs Edith Sparks
16. NAME of Father William Sparks
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Otto
19. BIRTHPLACE Nova Scotia
20. Signature of Informant W S Sparks Jr.
address 5689 North St. HFX. N.S.
Relationship to deceased Son
21. Place of burial Cherry Brook HFX. Co.
Date of burial April 14, 1971
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 11, 1971
CAUSE OF DEATH
(a) Carcinoma of Prostate
(b) Pneumonia
(c) Emphysema
other Adrenal Depression Renal Failure
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494857
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