Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Edith May Croucher death at Frenchvale, Cape Breton County on September 16, 1971

Female Death Registration: Year: 1971 number: 5625

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005625

1. PLACE OF DEATH   County of Cape Breton If in City or Town Frenchvale

3. PRINT NAME OF DECEASED Croucher, Edith May

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Dutch

7. Single, Married

widowed

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 11  14, 1881

10. AGE in  Years89  Months10  Days2 | hrs or mins

11. Trade or profession Retired

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse Charles Croucher

16. NAME of Father John Crowell

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Cecilia Laurilliard

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Douglas Croucher

      address French Village, Halifax Co., NS

      Relationship to deceased Son

21. Place of burial Glen Margaret United Church Cemetery

      Date of burial 19 September 1971

22. Undertaker J. Albert Walker

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 16, 1971

CAUSE OF DEATH

(a) Acute Pulmonary Occlusion

(b) Atherosclerotic Heart Disease

(c)

other Bronchial Asthma

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