Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Frederick Crocker death at Halifax, Halifax County on March 14, 1971
Male Death Registration: Year: 1971 number: 2217
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002217
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Canadian Forces Hospital
3. PRINT NAME OF DECEASED Crocker, William Frederick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Kitchener, Waterloo County, Ontario
9. DATE OF BIRTH 11 6, 1952
10. AGE in Years18 Months4 Days8 | hrs or mins
11. Trade or profession Sonarman
12. Kind of industry Canadian Armed Forces
13. Date last worked Mar 12/71 14. Total years
15. If married name of spouse nil
16. NAME of Father not available
17. BIRTHPLACE not available
18. NAME of Mother not available
19. BIRTHPLACE not available
20. Signature of Informant Lt. Cdr. J.W. Williamson
address C.F.B. Halifax, Halifax
Relationship to deceased
21. Place of burial Hespeler, Ontario
Date of burial March 15, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 14, 1971
CAUSE OF DEATH
(a) Aspiration
(b) Pneumonia ? Alcohol Intoxication
(c)
other
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