Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Osborne Crooks death at Lake Echo, Halifax County on April 17, 1971
Male Death Registration: Year: 1971 number: 2908
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002908
1. PLACE OF DEATH County of Halifax If in City or Town Lake Echo
If death occured in a hospital or institution daughter's home
3. PRINT NAME OF DECEASED Crooks, William Osborne
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Coddles Harbour
9. DATE OF BIRTH 1 6, 1894
10. AGE in Years77 Months3 Days11 | hrs or mins
11. Trade or profession fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Gladys
16. NAME of Father William Crooks
17. BIRTHPLACE Coddles Harbour, NS
18. NAME of Mother Ada Hull
19. BIRTHPLACE New Harbour, NS
20. Signature of Informant Verna McFarlane
address Lake Echo, NS
Relationship to deceased daughter
21. Place of burial Fisherman's Harbour, NS
Date of burial April 20, 1971
22. Undertaker Veinotte & Sons Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 17, 1971
CAUSE OF DEATH
(a) Carcinoma Stomach
(b)
(c)
other Pulmonary Tbc
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