Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jean Dorothy Crooks death at Halifax, Halifax County on January 30, 1971
Female Death Registration: Year: 1971 number: 1420
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001420
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Crooks, Jean Dorothy
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 3 5, 1921
10. AGE in Years49 Months10 Days25 | hrs or mins
11. Trade or profession House duties
12. Kind of industry at home
13. Date last worked Jan 1970 14. Total years Life
15. If married name of spouse Edward John Crooks
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Edward John Crooks
address 2491 Quinn St., Halifax
Relationship to deceased Husband
21. Place of burial Gate of Heaven Cemetery, Lr. Sackville
Date of burial February 1, 1971
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 30, 1971
CAUSE OF DEATH
(a) Carcinoma anus
(b)
(c)
other
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