Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Willam Sebra Crooker death at Bridgewater, Lunenburg County on June 25, 1971
Male Death Registration: Year: 1971 number: 4068
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004068
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Crooker, Willam Sebra
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Brookfield, Queens County
9. DATE OF BIRTH 11 9, 1904
10. AGE in Years66 Months7 Days16 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 1969 14. Total years 25 years
15. If married name of spouse Mrs. Edna Crooker
16. NAME of Father Leander Crooker
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Leana Harding
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Edna Croaker
address 29 Dustan St, Dartmouth
Relationship to deceased Wife
21. Place of burial Dartmouth Memorial Gardens, Westphal, Hfx. Co., NS
Date of burial June 28, 1971
22. Undertaker Al. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 25, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Ischemic Heart Disease
(c)
other
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