Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sarah Provo death at Halifax, Halifax County on May 15, 1971
Female Death Registration: Year: 1971 number: 3370
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003370
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Provo, Sarah
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 1, 1929
10. AGE in Years42 Months4 Days15 | hrs or mins
11. Trade or profession House duties
12. Kind of industry
13. Date last worked 1971 14. Total years Life
15. If married name of spouse Widowed
16. NAME of Father Maurice Downey
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. Frederick Provo
address North Preston, Halifax Co. NS
Relationship to deceased Son
21. Place of burial North Preston, Halifax Co.
Date of burial May 20/ 71
22. Undertaker Mattatall’s Funeral Home, Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 15, 1971
CAUSE OF DEATH
(a) Hepatic failure
(b) Alcohol cirrhosis
(c)
other
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Note: African Nova Scotian