Male Death Registration: Year: 1971 number: 7374
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007374
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
3. PRINT NAME OF DECEASED Brooks, Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
married
8. BIRTHPLACE Wales
9. DATE OF BIRTH 12 3, 1892
10. AGE in Years79 Months0 Days19 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mining
13. Date last worked 1962 14. Total years 55
15. If married name of spouse Katie MacPhee
16. NAME of Father Thomas Brooks
17. BIRTHPLACE Wales
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Carl M. Brooks
address 42 Forrest St. Sydney Mines
Relationship to deceased Son
21. Place of burial St. Andrews Cemetery, Sydney Mines
Date of burial December 26, 1971
22. Undertaker Fillmore and Whitman Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 22, 1971
CAUSE OF DEATH
(a) Acute Coronary Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499446
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