Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Stephen Matlock death at Sydney, Cape Breton County on January 19, 1970
Male Death Registration: Year: 1970 number: 1801
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001801
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 Matlock, Stephen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Czechoslovakian
7. Single, Married
widowed
8. BIRTHPLACE Czechoslovakia
9. DATE OF BIRTH 11 22, 1901
10. AGE in Years68 Months1 Days28 | hrs or mins
11. Trade or profession Coal miner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mary Ann Williams
16. NAME of Father Angus Matlock
17. BIRTHPLACE Czechoslovakia
18. NAME of Mother Lillian Poicki
19. BIRTHPLACE Czechoslovakia
20. Signature of Informant Mrs. John Sichky
address 45 Emerald St., Scotchtown
Relationship to deceased Sister
21. Place of burial St. Michael's Cemetery, Scotchtown
Date of burial January 22, 1970
22. Undertaker V.J. McGillivray Funeral Homes Ltd., New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 19, 1970
CAUSE OF DEATH
(a) Uremia
(b) Ureteral obstruction
(c) Cancer of prostate
other
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