Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Brown death at Halifax, Halifax County on September 30, 1971
Male Death Registration: Year: 1971 number: 5839
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005839
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 26 Mountain Road
Halifax
3. PRINT NAME OF DECEASED Brown, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 31, 1872
10. AGE in Years99 Months3 Days30 | hrs or mins
11. Trade or profession labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Sarah Brown
16. NAME of Father Brown
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Arnie Brown
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. M. Newman
address 3526 Barrington Street, Halifax, NS
Relationship to deceased daughter
21. Place of burial Fairview Cemetery, Halifax
Date of burial Oct 1, 1971
22. Undertaker Snow & Co., Ltd. Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 30, 1971
CAUSE OF DEATH
(a) myocardial infarction
(b)
(c)
other
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