Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Percy Clarence Crocker death at Halifax, Halifax County on July 23, 1971
Male Death Registration: Year: 1971 number: 4609
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004609
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Crocker, Percy Clarence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 10, 1891
10. AGE in Years79 Months10 Days13 | hrs or mins
11. Trade or profession Retired Night Porter
12. Kind of industry
13. Date last worked Oct 1956 14. Total years 12 yrs
15. If married name of spouse Sarah Crocker
16. NAME of Father Aubrey James Crocker
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Cecelia O'Connell
19. BIRTHPLACE Halifax, NS
20. Signature of Informant Mrs. Sarah Crocker
address 2708 Bellaire Terrace, Hfx, NS
Relationship to deceased Wife
21. Place of burial St. Johns Cemetery, Halifax, NS
Date of burial July 26, 1971
22. Undertaker Cruickshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 23, 1971
CAUSE OF DEATH
(a) Carcinoma Stomach
(b)
(c)
other
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