Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alice Gertrude Eliza Crocker death at Annapolis Royal, Annapolis County on June 22, 1970
Female Death Registration: Year: 1970 number: 3924
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003924
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Anna. Gen. Hosp
3. PRINT NAME OF DECEASED Crocker, Alice Gertrude Eliza
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Freeport
9. DATE OF BIRTH 11 19, 1878
10. AGE in Years91 Months7 Days3 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry House Keeping
13. Date last worked 14. Total years
15. If married name of spouse Joseph Crocker
16. NAME of Father Edward Haines.
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Haines.
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Harold Crocker
address Freeport
Relationship to deceased Son
21. Place of burial Freeport
Date of burial June 24, 1970
22. Undertaker Jayne's Funeral Home Ltd. Digby
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 22, 1970
CAUSE OF DEATH
(a) Pneumonia
(b)
(c)
other
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