Male Death Registration: Year: 1971 number: 7495
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007495
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Harrocks, James
4. Sex
Male
5. Citizenship
Polish
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Poland
9. DATE OF BIRTH 11 26, 1885
10. AGE in Years86 Months1 Days1 | hrs or mins
11. Trade or profession Clerical
12. Kind of industry International Civil Service Aviation
13. Date last worked 1965 14. Total years 14 years
15. If married name of spouse Zofia Harrocks
16. NAME of Father Thomas Harrocks
17. BIRTHPLACE England
18. NAME of Mother Palina Trojanowska
19. BIRTHPLACE Poland
20. Signature of Informant D. Kingsley
address Point Edward, Sydney
Relationship to deceased Daugther
21. Place of burial Holy Rosary Cemetery, Westmount
Date of burial December 30, 1971
22. Undertaker T.W. Curry Ltd. Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 28, 1971
CAUSE OF DEATH
(a) Carcinoma of Bladder
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499567
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