Male Death Registration: Year: 1971 number: 3968
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003968
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Canadian Forces Hospital, Halifax
3. PRINT NAME OF DECEASED Tucker, Delson Rene
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Beaverton, Ontario
9. DATE OF BIRTH 5 17, 1932
10. AGE in Years39 Months Days26 | hrs or mins
11. Trade or profession Bosun
12. Kind of industry Department of National Defense
13. Date last worked 11 May'71 14. Total years
15. If married name of spouse Lorraine Tucker
16. NAME of Father Charles Tucker
17. BIRTHPLACE Ontario
18. NAME of Mother Mary Cockburn
19. BIRTHPLACE Ontario
20. Signature of Informant Mrs. Lorraine Tucker
address 11 Smith Ave., Cole Harbour
Relationship to deceased Wife
21. Place of burial Waubaushene, Ont.
Date of burial June 15, 1971
22. Undertaker A L Mattatall Funeral Services Ltd, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 13, 1971
CAUSE OF DEATH
(a) Hepatic Failure
(b) Metastases
(c) Bronchogenic Carcinoma
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496044
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