Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Everett Etham Crooks death at Halifax, Halifax County on November 28, 1970
Male Death Registration: Year: 1970 number: 6927
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006927
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 Crooks, Everett Etham
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Peggys Cove
9. DATE OF BIRTH 8 8, 1878
10. AGE in Years92 Months3 Days20 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fish Merchant
13. Date last worked 1950 14. Total years 70 years
15. If married name of spouse Late Charlotte Crooks
16. NAME of Father Richard Crooks
17. BIRTHPLACE Peggys Cove
18. NAME of Mother N.H. Beaner
19. BIRTHPLACE Lunenburg County
20. Signature of Informant Donald Crooks
address 2836 George Dauphinee Ave. Halifax
Relationship to deceased Son
21. Place of burial Hacketts Cove, Halifax Co.
Date of burial December 1, 1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 28, 1970
CAUSE OF DEATH
(a) Anaplastic Carcinoma of Thyroid
(b) Bronchopneumonia
(c) Generalized Arteriosclerosis
other
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