Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Elsie Elizabeth Cook death at Halifax, Halifax County on October 10, 1971

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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