Female Death Registration: Year: 1971 number: 5983
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005983
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 Cook, Elsie Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
widowed
8. BIRTHPLACE Lucasville, Halifax County
9. DATE OF BIRTH 6 4, 1904
10. AGE in Years62 Months4 Days6 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1971 14. Total years
15. If married name of spouse Clarence Cook
16. NAME of Father Manson Oliver
17. BIRTHPLACE Lucasville, Halifax Co., NS
18. NAME of Mother Rachel Lucas
19. BIRTHPLACE Lucasville, Halifax Co., NS
20. Signature of Informant Roy Oliver
address Lucasville, Halifax Co., NS
Relationship to deceased Brother
21. Place of burial Lucasville Cemetery, Halifax Co., NS
Date of burial 12 October 1971
22. Undertaker R. D. Lindsay, Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1971
CAUSE OF DEATH
(a) Intraventricular Hemorrhage
(b) Anterior Communicating Aneurysm with Rupture
(c)
other Hypertension
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498057
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